Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Repro AM > Urinary incontinence > Flashcards

Urinary incontinence Flashcards

1
Q

What is stress urinary incontinence?

A

Involuntary leakage on effort or exertion, on sneezing or coughing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is urge urinary incontinence?

A

Involuntary leakage accompanied by or preceded by urgency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can cause incontinence?

A 
Overactive bladder
Weakened pelvic floor
Nerve damage
Bladder condions
Other- e.g. constipation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the risk factors for incontinence?

A 
Parity
Increasing age
Menopause
Smoking
Increase intra abdominal pressure
Pelvic floor trauma
Denervation
Connective tissue disease
Surgery
Medical problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the irritation symptoms that can come with incontinence?

A 
Irgency
Frequency >7x a day
Nocturia
Dysuria
HAmoaturia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the possible voiding symptoms with incontinence?

A

Straining to void
Interupted flow
Recurrent UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the possible prolapse symptoms that can come with incontinence?

A

Vaginal lump

Dragging sensation in vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the possible bowel symptoms that may come with incontinence?

A

Anal incontinence
Consiptaion
Faecal evacuation dysfunction
IBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What history should be taken in urinary incontinence?

A

Parity- mode of delivery, weight of biggest baby
Smoking
HRT
Medical conditions
Previos pelvic floor muscle training, surgical treatment of incontinence or prolapse
Quality of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What medical conditions should be enquired about with incontinence?

A 
DM
Anti HTN medications
Glaucoma
Heart, kidney, liver
Cognitive
Anti-depressants/anti-psychotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is recommended to be done for anyone with incontinence?

A

3 day urinary diary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is looked at in a urinary diary?

A 
Fluid intake
Urine output
Daytime frequency
Nocturia
Average voided volume
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What examinations should be done with incontinence?

A 
General
Abdo
Neuro
Gynae
Pelvic floor assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What investigations should be done for incontinence?

A

Urine dipstick and MSSU
Post ovoidal residual volume assessment
Urodynamics- if surgical treatment considered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can be done for lifestyle management of incntinence?

A

Smoking cessation
Weight loss
Healthy diet- avoid constipation
Stop drinking alcohol and caffeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the medical treatment options for stress incontinence?

A

Duloxetine

17
Q

What are the indications to use duloxetine in stress incontinence?

A

Pelvic floor training failed or would be enhanced by duloxetine
Doesn’t want/ not fit for surgery
Failed surgery
Patient wishes to have more children

18
Q

What are the medical options for treatment of urge incontinence?

A

Anti-muscarinic
Tricyclic antidepressants
Botox
Neuromodulin

19
Q

What are the physiotherapy options for treatment of incontinence?

A

Pelvic floor muscle training

20
Q

What are the surgical options for management?

A

Tension free vaginal tape

Colposuspension

21
Q

What is overactive bladder syndrome?

A

symptom complex usually, but not always, related to urodynamically demonstrable detrusor overactivity

22
Q

What are the risk factors for overactive bladder syndrome?

A

Advanced age
DM
UTI
Smoking

23
Q

What are the signs and symptoms of overactive bladder syndrome?

A

Urgency, with or without urge incontinence
Frequency
Nocturia

24
Q

What is the management of overactive bladder syndrome?

A 
Treat symptoms
Normalise fluid intake
Reduce caffeine, fizzy drinks, chocolate
Smoking cessation
Weight loss
Bladder training programme
Pharm
25
Q

What is a bladder training programme?

A

Timed voiding with gradually increasing intervals

Repro AM (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions