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37 Cards in this Set
- Front
- Back
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POPULATION THAT IS MOST LIKELY TO HAVE URINARY INCONTINENCE
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OLDER PATIENTS
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WHAT IS CONTINENCE DEPENDENT ON?
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A COMPLIANT RESERVOIR AND SPHINCTERIC EFFICIENCY
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WHAT ARE THE TWO COMPONENTS OF SPHINCTERIC EFFICIENCY?
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INVOLUNTARY SMOOTH MUSCLE OF BLADDER NECK AND VOLUNTARY SKELETAL MUSCLE OF EXTERNAL SPHINCTER
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FOUR CATEGORIES OF URINARY INCONTINENCE
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TOTAL, STRESS, URGE, AND OVERFLOW
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MOST IMPORTANT STEP IN EVALUATION OF INCONTINENCE
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HISTORY
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WHAT IS A STRESS TEST FOR URINARY INCONTINENCE?
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FULL BLADDER, COUGH, LEAK
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WHAT IS THE PURPOSE OF URINALYSIS AND CULTURE IN INCONTINENCE?
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RULE OUT UTI
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WHAT IS THE PURPOSE OF CYSTOGRAMS IN URINARY INCONTINENCE?
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DIAGNOSE FISTULAS AND BLADDER NECK DESCENT PROBLEMS
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HOW DO YOU ASSESS POST-VOID RESIDUAL URINE VOLUME?
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VIA URETHRAL CATHETERIZATION OR ULTRASOUND
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WHAT PVR VALUE IS CONSIDERED ADEQUATE EMPTYING?
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LESS THAN 50 ML
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WHAT TEST IS PERFORMED ALONG WITH CYSTOMETRY?
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UROFLOW TESTING
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WHAT IS A NORMAL FLOW RATE IN UROFLOW TESTING?
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LOOK FOR A FLOW RATE GREATER THAN OR EQUAL TO 12 ML/SEC
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HOW IS CYSTOMETRY PERFORMED?
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BY FILLING THE BLADDER WITH WATER OR CO2 AND SIMULTANEOUSLY RECORDING INTRAVESICAL PRESSURE
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WHAT DOES CYSTOMETRY EVALUATE?
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BLADDER CAPACITY, ACCOMMODATION, SENSATION, VOLUNTARY CONTROL, CONTRACTILITY,, AND RESPONSE TO DRUG INTERVENTION
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WHERE ARE THE CATHETERS IN CYSTOMETRY PLACED?
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ONE IN BLADDER AND ONE IN THE VAGINA OR RECTUM
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TYPE OF INCONTINENCE WHERE PATIENTS LOSE URINE AT ALL TIMES AND IN ALL POSITIONS.
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TOTAL INCONTINENCE
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WHAT IS ANOTHER NAME FOR TOTAL INCONTINENCE?
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CONTINUOUS INCONTINENCE
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TX FOR TOTAL INCONTINENCE
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SURGERY
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WHAT CAUSES TOTAL INCONTINENCE?
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ANATOMIC ABNORMALITIES, EITHER CONGENITAL OR ACQUIRED
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WHAT TYPES OF CONDITIONS CAUSE TOTAL INCONTINENCE?
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FISTULAS SECONDARY TO PELVIC/VAGINAL SURGERY OR DIVERTICULITIS
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THIS IS THE LOSS OF URINE ASSOCIATED WITH ACTIVITIES THAT RESULT IN AN INCREASE IN INTRA ABDOMINAL PRESSURE
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STRESS INCONTINENCE
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WHAT IS ANOTHER NAME FOR STRESS INCONTINENCE?
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URETHRAL INCONTINENCE
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WHY DOES THE INTACT SPHINCTER STRUCTURE LOSE ITS EFFICIENT IN STRESS INCONTINENCE?
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BECAUSE OF EXCESS MOBILITY AND DECREASED SUPPORT
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WHAT TWO GROUPS OF PEOPLE ATRE MOST LIKELY TO HAVE STRESS INCONTINENCE?
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MULTIPAROUS WOEMN AND PEOPLE WITH A HISTORY OF PELVIC SURGERY
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WHAT TWO ABNORMALITIES ARE ASSOCIATED WITH STRESS INCONTINENCE?
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PELVIC FLOOR LAXITY AND POOR SUPPORT OF THE VESICOURETHRAL SPHINCTERIC UNIT
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TO WHAT LEVEL WILL THE BLADDER NECK DESCEND ON LATERAL STRESS CYSTOGRAM WITH STRESS INCONTINENCE?
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BLADDER NECK WILL DESCEND BELOW THE MIDPORTION OF THE PUBIC SYMPHYSIS
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WHAT TX OFFERS THE HIGHEST CURE RATES FOR STRESS INCONTINENCE?
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SURGERY
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WHAT TX OS CONSIDERED IN A POST MENOPAUSAL WOMAN FOR STRESS INCONTINENCE?
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TOPICAL ESTROGEN CREAM
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ANOTHER NAME FOR URGE INCONTINENCE
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OVERACTIVE BLADDER
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TYPE OF INCONTINENCE THAT IS AN UNCONTROLLED LOSS OF URINE PRECEDED BY A STRONG, UNEXPECTED URGE TO VOID
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WHAT IS URGE INCONTINENCE ASSOCIATED WITH?
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DETRUSOR HYPERREFLEXIA OR SPHINCTERIC DYSFUNCTION
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TYPE OF INCONTINENCE ASSOCIATED WITH INFLAMMATORY CONDITIONS AND NEUROGENIC BLADDER DISORDERS
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URGE INCONTINENCE
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TX FOR URGE INCONTINENCE
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ANTISPASMODICS (ANTICHOLINERGIC AGENTS), TCAS, AND BOTULISM TOXIN
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WHAT MAY CAUSE OVERFLOW INCONTINENCE?
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CHRONIC URINARY RETENTION (BPH, URETHRAL STRICTURES, NEUROGENIC DISORDER CAUSING EXTERNAL SPHINCTER SPASTICITY); AND MEDICATIONS
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TX OF OVERFLOW INCONTINENCE
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PLACEMENT OF URETHRAL CATHETERS and TREATMENT OF UNDERLYING DISEASE
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GENERAL TX MEASURES FOR INCONTINENCE
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KEGELS, WEIGHT LOSS , LIMIT FLUID INTAKE, NO CAFFEINE/ALCOHOL, NO EVENING FLUID INTAKE, MANAGEMENT OF CONSTIPATION, SMOKING CESSATION, TX PULMONARY DISEASE, PADS, TOILET RETRAINING
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WHAT TYPES OF THINGS ARE RECORDED IN BLADDER/VOIDING DIARY?
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TIME, DRINKS, URINE, ACCIDENTS, URGE, WHAT PATIENT WAS DOING AT TIME
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