Micturition Flashcards

1
Q

Triggered by the peripheral nervous system under the control of the central nervous system

A

Micturition

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2
Q

Most important facilitative center above the spinal cord

-FINAL COMMON PATHWAY FOR ALL BLADDER MOTOR NEURONS

A

PONTINE-MESENCEPHALIC GRAY MATTER OF THE BRAINSTEM
(Aka pontine micturition center)

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3
Q

transection of the tracts below the pontine-mesencephalic gray matter of the brainstem

A

disturbed bladder emptying

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4
Q

transection of the tracts above the pontine-mesencephalic gray matter of the brainstem

A

detrusor overactivity

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5
Q

serves as a major center for coordinating pelvic floor relaxation and the rate, force, and range of detrusor contractions

A

cerebellum

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6
Q

Above this level =

A

cerebral cortex and related structures exert inhibitory influences on the micturition reflex

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7
Q

bladder and urethra store urine without pain until a socially acceptable time and place arises, at which point voiding occurs in a coordinated and complete fashion

A

Normal lower urinary tract

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8
Q

Lower urinary tract disorders:

A
  • disorders of storage (urinary incontinence)
  • emptying (urinary hesitancy and retention)
  • sensation (urgency or pain)
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9
Q

disorders of storage

A

urinary incontinence

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10
Q

disorders of emptying

A

urinary hesitancy and retention

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11
Q

disorders of sensation

A

urgency or pain

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12
Q

any involuntary leakage of urine

A

incontinence (symptom)

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13
Q

`

observation of involunatry leakage from the urethra, synchronous with exertion/effort, or sneezing or coughing

A

stress urinary incontinence-sign

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14
Q

involuntary loss of urine associated with urgency and also with effort or physical exertion or on sneezing or coughing

A

mixed incontinence

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15
Q

number of voids per day, from waking in the morning until falling asleep at night

A

frequency

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16
Q

interruption of sleep one or more times because of the need to micturate (each void is preceded and followed by sleep)

A

nocturia

17
Q

sudden, compelling desire to pass urine, which is difficult to defer

A

urgency

18
Q

urinary incontinence where women has been unaware of how it occured

A

insensible urinary incontinence

19
Q

urinary urgency, usually accompanied by frequency and nocturia, with or wihtout urgency urinary incontinence, in the absence of urinary tract infection or other obvious pathology

A

overactive bladder syndrome (OAB)