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15 Cards in this Set
- Front
- Back
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In the ANS what do the parasymphatetic and sympathaetic NS control?
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Parasympathetic (muscarinic receptors) resposible for bladder emptying.
Sympathetic(B receptors) responsible for bladder storage. |
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What do the ANS and SNS control?
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ANS controls detrusor muscle, internal sphincter(involuntary)
SNS controls external sphincter(voluntary) |
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What are the reversible causes of UI?
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D-Delirium
I-Infection A-Atrophic vaginitis/urethritis P-Pharmaceuticals P-Psychological disordes E-Endocrine disorders R-Restriced mobility S-Stool impaction |
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What are other causes of UI?
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1. Altered mental status(dementia)
2. Pregnancy 3. Vaginal child birth 4. Interstitial cystitis 5.Prostatitis/BPH 5. Neurological conditions(PD) |
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What is the other name for stress incont?
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Urethral underactivity
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Stress incont is?
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Involuntary loss of urine due to intra-abdominal pressure.
1.coughing 2.laughing 3.sneezing. 4.increased exertion(lifting weight) Loss of small amounts of urine Intrinsic urethral deficiency from Trauma, irradiation. Males -uncommon due to prostatectomy. |
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What are RF's for Stress?
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1.Pregnancy
2. Childbirth 3. menopause 4. cognitive impairment 5. obesity 6. age |
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What is the other name for urge incont?
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Bladder overactivity
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What is urge incont and overactive bladder?
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Involuntary loss of urine assoicated with urgency.
Loss of a large amount of urine Overactive bladder- urgency,frequency, dysuria, nocturia. (can occur with or w/o urine loss). |
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What is the other name for Overflow incont?
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Urethral overactivity/bladder underactivity
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What is overflow- incont?
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Involuntary loss of urine when the intravesicular pressure exceeds the maximal urethera pressure. Over-distention of bladder, loss of small amounts of urine and continual feeling of bladder fullness.
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When does overflow incont occur?
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1. Bladder outlet obstuction(BPH)
2. Fecal impaction(constipation) 3. Bladder paralysis(general anesthesia) |
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What is functional incont?
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Involuntary loss of urine due to inability to get to the bathroom or the lack of awareness of needing to void.
1. Dementia 2.Oversedations of meds 3. Physical immobility(walkers) |
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What is mixed incont?
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Any combination of one or more types of incont (urge/stress) is most common.
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Diagnosis of UI
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1.Symptoms
2. Voiding dairy: timing, frequency, urgency, amount of voiding 3.drug history 4. PVR |
