Bladder Disorders & Urinary Incontinence Flashcards

Question

Diagnosing Chlamydia in Males

Answer 1

NAAT testing

Answer 2

Azithromycin | Rocephin

Answer 3

Symptomatic urethritis | Epididymitis: age

Answer 4

NAAT testing

Answer 5

Azithromycin | Rocephin

Answer 6

Urgency Frequency Nocturia

Answer 7

Detruser muscle contracts irregularly at small volumes Usually idiopathic Can be secondary to DM, stroke, spinal disease

Answer 8

Anti-muscarinics

Answer 9

No spit No shit No pee No see

Answer 10

Increase bladder capacity | Block basal release of acetyl choline during bladder filling

Answer 11

Oxybutynin (ditropan) Tolterodine (Detrol) Solifenacin (Vesicare)

Answer 12

Mirabegron (Myrbetriq) | Beta 3-adrenoceptor agonist

Answer 13

HTN Incomplete bladder emptying Dry mouth

Answer 14

Perineal candida infection Cellulitis & pressure ulcers UTIs & urosepsis Falls & fractures from slipping on urine Sleep interruption & deprivation Psychologically: poor self esteem, social withdrawal, depression & sexual dysfunction

Answer 15

Afraid of leaking urine during sex

Answer 16

Non-intact micturition physiology | Lack of functional ability to toilet oneself

Answer 17

``` Obesity Functional impairment Parity (# of pregnancies) Family history Smoking Age DM Stroke Depression Estrogen depletion Genitourinary surgery Radiation ```

Answer 18

``` D: delirium I: infection A: atrophic vaginitis P: pharmacologic P: psychological E: excessive urine production R: restricted mobility S: stool impaction ```

Answer 19

Sedatives Diuretics Anti-cholinergics

Answer 20

``` Diuretics ADH problems Psychogenic polydipsia DM Hypercalcemia ```

Answer 21

In the past 3 months have you leaked urine? Which precipitants led to leakage? Which precipitant caused leakage most often? Do you ever wear pads, tissue or cloth in your underwear to catch urine?

Answer 22

Questions about incontinence Precipitants Bowel & sexual function Status of other medical conditions, parity, & meds Any prior continence therapy, particularly surgical treatments

Answer 23

Uninhibited bladder contractions Detrusor over activity May be due to bladder abnormalities or idiopathic

Answer 24

Sudden urge to void: nocturia, frequency Preceded or accompanied by leakage of urine More common in older women Also seen in men

Answer 25

Leakage of urine with increased intra-abdominal pressure in the absence of a bladder contraction

Answer 26

Urethral hypermobility | Intrinsic sphincter deficiency

Answer 27

Most common type in women | Vary in predominance and/or bother of urge or stress leakage

Answer 28

Continuous leakage or dribbling of ruine

Answer 29

Detruser underactivity | Bladder outlet obstruction

Answer 30

Low estrogen Aging Peripheral neuropathy due to DM, chemo, B12 deficiency, meds, ETOH Damage to the spinal detrusor efferents (MS)

Answer 31

CHF Late evening beveragesSleep apnea Sleep disturbances: chronic pain, depression Detrusor overactivity

Answer 32

Bladder diary

Answer 33

``` Record time & volume of continent & incontinent voiding Activity Caffeine intake House of sleep Episodes of nocturia ```

Answer 34

``` Heart Lungs Neurologic conditions Check for cystocele/rectocele, atrophy Have patient cough: look for leakage Examination of the prostate Cognitive & functional status ```

Answer 35

How much urine is left in the bladder after the patient empties their bladder

Answer 36

``` Renal function Serum calcium & glucose UA PSA for men if indicated Urine cytology if there is hematuria or pelvic pain Increased post-void residual ```

Answer 37

``` Weight loss Adequate but not excessive fluid intake Avoid caffeinated beverages & alcohol Minimize evening fluid intake for nocturia Smoking cessation Behavioral therapy Pessiaries Pharmacotherapy ```

Answer 38

Bladder training: frequent voluntary voiding, relaxation techniques for urge incontinence Kegel exercises Biofeedback

Answer 39

Tolterodine (Detrol LA) Solifenacin (Vesicare) Oxybutynin (Ditropan): IR, ER, Patch

Answer 40

``` Dry mouth Blurred vision Constipation Drowsiness Decreased cognitive function ```

Answer 41

Narrow angle glaucoma

Answer 42

Direct antispasmodic effect on detrusor muscle

Answer 43

Causes bladder relaxation

Answer 44

``` HTN Tachycardia Urinary retention Inflammation of the nasal passages Dry mouth Constipation Abdominal pain Memory problems ```

Answer 45

Used for stress incontinence | Abdominal or vaginal approaches

Answer 46

Midurethral sling Bladder neck sling Submucosal injection of urethral bulking agents

Answer 47

``` Mesh exposure (erosion) Dyspareunia Infection urinary problems Bleeding Organ perforation Deaths associated with bowel perforation or hemorrhage ```

Answer 48

``` Incontinence with abdominal and/or pelvic pain Hematuria in the absence of UTI Suspected fistula Complex neurological conditions Abnormal findings ```

Answer 49

Persistent symptoms after adequate therapeutic trial Uncertainty in diagnosis Significantly elevated PVR that doesn't resolve after treatment of precipitants Prior pelvic surgery or pelvic irritation Desiring surgical therapy for stress incontinence

Answer 50

Persistent pain or "unpleasant" sensation with filling of the bladder, relieved with voiding Gradual onset with worsening symptoms Urinary frequency Urgency Nocturia

Answer 51

``` Through PE Tender suprapubic area Dyspareunia Irritable bowel Vulvodynia UA & culture ```

Answer 52

Unpleasant sensation perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration in the absence of infection or other identifiable causes

Answer 53

Patient education noting reasonable expectations about pain relief & chronicity of condition Psychosocial support Self-care & behavior modification

Answer 54

PT: patients with pelvic muscle pain Meds: amitriptyline, pentosan polysulfate sodium (PPS), hydroxyzine

Answer 55

Reconstitues deficient protective glycosaminoglycan layer over the urothelium

Bladder Disorders & Urinary Incontinence Flashcards

(79 cards)