Data elements found in Prostate Questionnaire & Examination


Sensation of Not Emptying Your Bladder Completely
Urinate Less Than 2 Hours After Urinating
Stopped and Started Urinating Several Times
Difficult to Postpone Urinating
Weak Urinary Stream
Push or Strain to Begin Urinating
Get up to Urinate During the Night
Problem w/ Not Emptying Your Bladder
Problem w/ Frequent Urination
Problem w/ Getting up at Night to Urinate
Problem w/ Stopping and Starting Urination
Problem w/ Little Warning for Need to Urinate
Problem w/ Impaired Size and Force of Stream
Problem w/ Pushing or Straining to Begin Urinatin
Physical Discomfort Due to Urinary Problems
Worry About Your Health Due to Urinary Problems
How Bothersome is Trouble With Urination
if You Were to Spend the Rest of Your Life...
Kept You From Doing the Kinds of Things...
...interfered With Drinking Before Travel
...interfered With Drinking Before Going to Bed
...interfered With Drinking Before Driving 2 Hour
...interfered With Getting Enough Sleep at Night
...interfered w/ Going Places W/O Toilets
...interfered With Playing Sports Outdoors
...interfered With Going to Movies, Shows...
Average Use of Juice
Average Use of Milk
Average Use of Carbonated Beverages, Caffeine Fre
Average Use of Carbonated Beverages, w/ Caffeine
Average Use of Decaffeinated Coffee/Tea
Average Use of Coffee
Average Use of Cocoa
Aveage Use of Tea
Average Use of Water
Average Use of Other Beverages
Digital Rectal Exam Results
if Abnormal, Examiner's Impression
Grade of Induration
Extent of Induration
Approximate Size
Location of Nodule
Location of Nodule
Location of Nodule
Location of Nodule
Hemorrhoids, External
Hemorrhoids, Internal
Stool Guaiac
Month of Digital Rectal Exam
Day of Digital Rectal Exam
Year of Digital Rectal Exam
Prostate Specific Antigen (Psa)

Details for this Data Type


JM - Disclaimer

Revised 09/18/98 -- Send comments to our Web Master .