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Repro Week 2 > Voiding Dysfunction > Flashcards

Voiding Dysfunction Flashcards

1
Q

what parasymp receptor mediates bladder control?

A

M3/M2

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2
Q

what does sympathetic activation do at bladder?

A

allows for filling via relaxation of the SM

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3
Q

what is the sympathetic receptor in the bladder?

A

B3

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4
Q

what is the sympathetic in charge of with the bladder outlet and internal urethra?

A

contraction

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5
Q

what sympathetic receptor is in charge of the bladder outlet contraction and urethral contraction?

A

alpha receptors

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6
Q

what does the somatic nervous system control with the bladder?

A

external sphincter

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7
Q

what is the cerebral micturition center in charge of?

A

telling bladder not to activate…really controls when you go

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8
Q

what is the pontine micturition center in charge of?

A

helps with coordination of activities with the sphincters and bladder

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9
Q

what is the sacral micturition center in charge of?

A

processes afferent signals and routes efferent signals

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10
Q

what does bladder overactivity mean?

A

bladder contracts when we dont want it to

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11
Q

what are symptoms of bladder overactivity?

A

urinary urgency and frequency with urge incontinence

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12
Q

what is issue in decreased storage volume of bladder?

A

decreased capacity to fill..you get afferent receptors activating earlier at lower volumes

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13
Q

what are symptoms of decreased storage volume?

A

urgency and frequency

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14
Q

what is issue with a stiff bladder?

A

you have low compliance of the bladder

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15
Q

what is the cause of stress incontinence?

A

weak or damaged sphincter muscles that lapse when cough or sneezing

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16
Q

what are two ways to limit bladder emptying?

A

decreased bladder contractility and increased outlet resistance

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17
Q

what are four ways to have decreased bladder contraction?

A 
overdistension
infection
fibrosis
and drugs 
or parasympathetic neural issue
18
Q

what can be overactive that causes bladder outelt obstruction?

A

external sphncter

19
Q

name some urine outlet obstruction causes

A 
prostatic obstruction
scar...stricture
mass
iatrogenic
pelvic organ prolapse
20
Q

what two prostate issues can cause outlet obstruction

A

BPH and cancer

21
Q

how do you measure urine flow?

A

uroflowmetry

22
Q

if there is a slow flow rate, what two things to think about?

A

outlet obstruction or detrussor dysfxn

23
Q

what are four things you can do for an overactive bladder with decreased storage?

A

behavioral modifications
improve constipation
weight loss
pelvic muscle exercises

24
Q

if you have an over active bladder, what can you give for it?

A

anticholinergics or beta agonists

25
Q

what are the anticholinergics for overactive bladdeR?

A

oxybutynin and tolterodine

26
Q

what are the B3 agonists for overactive bladder?

A

mirabegron

27
Q

what can you do to fix weak or damaged outlet muscles?

A

NOTHING

28
Q

what can be done to help with bladder emptying issues?

A

nothing really…intermittent cath

29
Q

if you have outlet overactivity or detrusor xternal sphincter dysynergi, what is best rx option?

A

bypass with cath

30
Q

if you have BPH and bladder outlet obstruction, what meds can you give?

A

alpha blockers relax smooth muscle withing bladder nneck and prostate

31
Q

what med is alpha blocker to help with BPH?

A

tamsulosin

32
Q

what can you give to shrink prostate in BPH?

A

finasteride..5a reductase inhibitors

33
Q

how do you image for bladder trauma?

A

CT cystogram

34
Q

what is a CT cystogram?

A

retrograde bladder fill with cath with water soluble contrast

35
Q

how do you manage extraperitoneal bladder trauma?

A

foley cath drainage

36
Q

how do you manage an itraperitoneal injury to bladder?

A

surgical interventions

37
Q

how do you evaluate for suspicion of urethral trauma?

A

retrogrde urethrogram

38
Q

what is a retrograde urethrogram?

A

catheter tipped syringe in meatus and empties cntrast

39
Q

what is a cystourethroscopy?

A

direct visualization of the urethra

40
Q

who gets a retrograde urethrogrm?

A

males

41
Q

who gets a cystourethroscopy?

A

females

42
Q

what is worrisome for urethral trauma?

A

blood at urethral meatus after pelvic trauma

Repro Week 2 (9 decks)

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