Enuresis Flashcards
1
Q
Enuresis: Primary vs. Secondary
A
primary enuresis: no previous control (not previously potty trained)
secondary enuresis: potty trained but something else caused them to start urinating inappropriately
2
Q
Nocturnal Enuresis
A
during sleep
3
Q
Enuresis: Risk Factors
A
- constipation
- familial disposition
- neurologic developmental delay
- behavioral comorbidities
- functional small bladder capacity
- sleep disorders
- stress/family disruptions
- polyuria
- inappropriate toilet training
4
Q
Enuresis: Clinical Findings (History)
A
- voiding characteristics
- fluid intake
- UTI
- history in other family members
- toilet training
- how family deals w/ enuresis
- bowel patterns
- sleep patterns
- general health
- behavior problems
- changes in family/environment
5
Q
Enuresis: Clinical Findings (Physical Exams)
A
- external genitalia
- fecal impaction
- lower back for dimples/hair tufts
- neurologic function, DTR
6
Q
Enuresis: Dx
A
- UA
- r/o diabetes, sickle cell, renal failure, structural abnormalities, hypercalciuria, obstructive uropathy, vaginitis, sleep apnea
7
Q
Enuresis: Managment
A
- establish normal bladder function
- tx any underlying causes
- behavioral modification
- medications
- urotherapy: regular voiding schedules
- enuresis alarms
- drug therapy (Desmopressin - antidiuretic effect)
- positive reinforcement of child
8
Q
Enuresis: Complications
A
poor self-esteem
