USMLE Forum Archives - USMLE Step 3 - Surgery: Incontinence
Surgery: Incontinence
meduploader - 06-02-09 13:17
A 56-year-old woman who recently had a stroke complains of a new onset of urinary incontinence. She complains of urinary frequency, urgency, and urge incontinence. She does not lose urine upon coughing, laughing, or sneezing. She has nocturia 5 times a night. What is the most likely diagnosis?
meduploader - 06-02-09 13:17
A 56-year-old woman who recently had a stroke complains of a new onset of urinary incontinence. She complains of urinary frequency, urgency, and urge incontinence. She does not lose urine upon coughing, laughing, or sneezing. She has nocturia 5 times a night. What is the most likely diagnosis?
The correct answer and explanation will be available after you answer.
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#20
Re: Surgery: Incontinence conym5 - 04-09-10 15:35 My answer is: a.
recently had a stroke complains of a new onset of urinary incontinence..most likely Overflow incontinence. in DM also same.. Overflow incontinence
#29
Re: Surgery: Incontinence babbu5508 - 08-30-10 03:48 My answer is: b.
urinary frequency, urgency, and urge incontinence. She does not lose urine upon coughing, laughing, or sneezing. She has nocturia
#31
Re: Surgery: Incontinence zampaoverture - 08-30-10 15:31 While the explanation provided is correct, the term : “Reflex incontinence” is more of a public description rather than scientific entity. Should this case appear on the USMLE, the option would be called “Detrusor Overactivity” rather than “Reflex Incontinence”. Detrusor Overactivity replaced, few years ago, the old term “Detrusor Hyperreflexia”.
#37
Re: Surgery: Incontinence sudha2015 - 02-21-11 11:28 My answer is: d.
She complains of urinary frequency, urgency, and urge incontinence. She does not lose urine upon coughing, laughing, or sneezing.
#39
Re: Surgery: Incontinence babbu5508 - 02-22-11 10:43 Reflex incontinence is caused by a problem in the central nervous system (the brain and spinal cord). Common disorders associated with reflex incontinence include stroke, Parkinson disease, and brain tumors. Reflex incontinence also occurs in patients with spinal cord injuries and multiple sclerosis.
#40
Re: Surgery: Incontinence sudha2015 - 03-31-11 12:05 new onset of urinary incontinence. She complains of urinary frequency, urgency, and urge incontinence. She does not lose urine upon coughing, laughing, or sneezing. She has nocturia 5 times a night
d
#41
Re: Surgery: Incontinence babbu5508 - 03-31-11 12:44 Reflex incontinence is an inability to control the release of urine. Reflex incontinence occurs when a person's bladder contracts without the person being able to stop it, causing leakage of urine.
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