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CP2 - HCOLL > Continence > Flashcards

Continence Flashcards

1
Q

F:M Incontinence issues

A

2:1

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2
Q

Types of urinary incontience

A 
Stress incontinence 
Urge incontinence 
Mixed incontinence 
BOO = Bladder outlet obstruction (Bladder overfills + overflows) 
Fistulae
Functional incontinence
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3
Q

Voiding Sx (8)

A 
Hesitancy 
Straining 
Weak flow 
Terminal dribbling 
Prolonged voiding 
Retention
Overflow incontinence 
Pain
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4
Q

Storage Sx (5)

A 
Frequency 
Urgency 
Nocturia 
Urge incontinence 
Small voided volume
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5
Q

Key Hx points incontinence

A 
LUTS - voiding or storage 
Determined fl intake, timings + types 
SR incl cardio, neuro, bowel habits
DM/CKD Sx 
PD + incontience 
Obstetric Hx 
Assess the effect on QOL 
ENviro - toilet, mobility 
Med Hx 
UTI Hx
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6
Q

Red flag Sx incontinence (4)

A

Pain on micturition
Haematuria
Prolapse beyond introitus
Suspicion prostate Ca

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7
Q

O/E incontinence

A 
Cardio/resp 
MMSE
Abdo - distended bladder, enlarged kidney, DRE
Vaginal atrophy/prolapse 
Pelvic floor mm strength 
Stress incontinence - ask pt to cough 
Assess gait
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8
Q

Meds + urinary incontinence - alcohol SE

A

polyuria
frequency
delirium

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9
Q

Meds + urinary incontinence - ACEi SE (2)

A

Cough

+ stress incontinence

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10
Q

Meds + urinary incontinence - Anticholinergics (2)

A

Urinary retention

Overflow

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11
Q

Meds + urinary incontinence - diuretics (3)

A

Polyuria
Frequency
Urgency

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12
Q

Meds + urinary incontinence - opiates (4)

A

Delirium
Sedation
Constipation
Urinary retention

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13
Q

Meds + urinary incontinence - TCA (2)

A

Urinary retention

Overflow

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14
Q

Ix incontinence (simple) (4)

A

Urinalysis
MSU - culture, microscopy, sensitivity
Post void bladder scan
freq vol chart (bladder diary)

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15
Q

Ix incontience (more complex Ix ) (4)

A

Uroflowmetry
Video urodynamics
Ambulatory urodynamics
USS renal tract/CT abdo

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16
Q

Causes of stress incontinence (5)

A 
Instrumental delivery/pelvic floor damage 
Vaginal prolapse
Post prostatectomy 
Pudendal nn damage 
2' to bladder outlet malfunction
17
Q

Mx stress incontinence (4)

A

Lifestyle (smoking, W loss, reduce caffiene)
Pelvic floor exercises
Duloextine
Mid-urethral sling insertion

18
Q

Causes - overactive bladder (5)

A 
Urgency +/- urge incontinence 
Idiopathic 
Neurogenic - MS/PD/stroke/SC injury 
UTI
Bladder outlet obstruction
19
Q

Mx overactive bladder (7)

A

Lifestyle - W loss, reduce caffiene, reg bowel habit
Bladder retraining
Anticholinergics/ B3 adrenoceptor agonists - mirabegron
Intravaginal O
Intradetrusor botox injection
Sacral nn stimulation

20
Q

Causes of bladder outlet obstruction (9)

A 
Phimosis 
Stricture 
STD
Trauma 
Blood clot 
Calculi
BPH
Ca prostate + bladder 
Cancer cervix + colon

CP2 - HCOLL (13 decks)

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