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obs and gynae > urogynae > Flashcards

urogynae Flashcards

1
Q

Types of incontinence - Stress incontinence presentation

A 
Involuntary leakage
Cough
Laugh
Lifting
Exercise
Movement
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2
Q

Types of incontinence - Detrusor overactivity/overactive bladder presentation

A 
Urgency
Urgency incontinence
Frequency
Nocturia
Nocturnal enuresis
‘Key in the door’
‘Handwash’
Intercourse
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3
Q

assessment of incontinence (4)

A

Frequency volume chart (FVC) - Voided volume, Frequency of urination etc
Urinalysis (MSU)
Residual urine measurement (RU)
Questionnaire (ePAQ)

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4
Q

electronic Personal Assessment Questionnaire - 4 domains

A 
Urinary
Pain
Voiding
Overactive bladder 
Stress incontinence  
Quality of life
Bowel
IBS
Constipation
Evacuation
Continence
Quality of life
Vaginal
Pain
Capacity
Prolapse 
Quality of life
Sexual
Urinary
Bowel
Vaginal
Dyspareunia
Overall sex life
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5
Q 
detrusor muscle
innervation
neurotransmitter
receptors
antagonists
A

Innervation - Sacral Parasympathetic
Neurotransmitter - Acetylcholine
Receptors - Muscarinic: M2 & M3
Antagonsists - Atropine (Oxybutynin, Tolterodine, Solifenacin, Trospium)

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6
Q

agents for detrusor muscle activity

A

Anticholinergics: Atropine-like agents (Antimuscarinics) M2 & M3 Receptor Antagonists

B3 adrenergic agonist - mirabegron

botulinum toxin

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7
Q

anticholinergics: Atropine-like agents (Antimuscarinics) M2 & M3 Receptor Antagonists
examples
SE

A 
OXYBUTYNIN
Tolterodine
Propiverine
Trospium
Solifenacin

dry mouth, drowsy, constipation, tachycardia

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8
Q

mirabegron

A

Mechanism of Action
Beta-3 adrenergic receptor agonist
Relaxes smooth muscle detrusor
Increases bladder capacity

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9
Q

physio - pelvic floor exercises

A

Pelvic floor muscle contraction
Clamping / compression of urethra
Increased urethral pressure
Reduced leakage

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10
Q

lifestyle adaptations to incontinence

A

Weight loss
Smoking cessation
Reduced caffeine intake
Avoidance of straining and constipation

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obs and gynae (4 decks)

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