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12 Cards in this Set
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- 3rd side (hint)
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2RF for urinary incontinence
(& mult rf for one) |
1. OLD AGE
2. PELVIC RELAXATION: OBSTRUCTED LABOR TRAUMATIC DELIVERY MENOPAUSE (hormone Δ->dec tissue resiliency) (inc abd press): cough straining ascites lg pelvic tumors |
age, pelvis
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2 types of urinary incontinence
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1. stress incont
2. urge incont |
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*hx dif b/w stress and urge
1. amts |
1. stress sm amt, urge lg
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sm or lg
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hx dif b/w stress and urge
2. situation |
2. stress w/ exertion or strain (cough, laugh),
urge unpredictable |
cough, laugh, or unpredict
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*hx dif b/w stress and urge*
3. time of day |
3. stress: none when supine or asleep
urge: day or night urge/freq |
awake or asleep
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PE dif b/w stress and urge
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stress: nml or may show cystocele or urethrocele
urge: normal |
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RF for stress incont
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pelvic relaxation
chronic inc abd press weakened urethral closing mech (ie estrogen deficiency, meds) |
structural
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RF for urge incont
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neuro dz (Alzheimers, Park)
DM bladder ca bladder stone UTI |
neuro
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Dx for stress incont
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r/o urge: nml UA/cult, neuro exam, cystometrogram
show leakage w/ stress positive "Q-tip test" (angle of cotton swab shows >30 deg change when pt strain) |
r/o urge, special test
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Dx for urge incont
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cystometrogram: invol blad ctx assoc w/ ur leakage,
nml residual vol & sensation |
diagnostic tool
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Tx stress incont
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pelvic exercises (kegel), estrogen,
pessaries, +/- surg |
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Tx urge incont
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beta-adrenergics (metaproterenol)
antichol (oxybutynin) behav mod +/- surg denervation |
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