jasmin
Forum Junior
Topics: 7
Posts: 40
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Please explain
A ) Detrusor instability
B ) Interstitial cystitis
C ) Overflow incontinence
D ) Stress incontinence
E ) Urethra diverticulum
F ) Urinary fistula
8. One day after an uncomplicated spontaneous vaginal delivery, a 23-year-old woman, gravida 1, para 1, has the onset of loss of small amounts of urine. She received epidural anesthesia during labor and delivery. Examination shows an episiotomy without evidence of hematoma. She is voiding 50 to 75 mL of urine at a time. Postvoid residual volume is 300 mL.
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| nyimalay
Forum Elite
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Posts: 280
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C) Overflow incontinence due to atony of bladder as a result of epidual anasthesia.
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| kaphoury
Forum Newbie
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i'd say as did nyimalay: C) because of high postvoid volume (300ml) normal <50 ml and suggestive history of epidural anasthesia
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| shakespeare
Forum Newbie
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one more vote for C: 1 day after epidural
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| SOS
Forum Guru
Topics: 17
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i go with C,for the same reason as mentioned above.
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| inkspot
Forum Guru
Topics: 26
Posts: 554
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C :
epidural anesthesia .
other causes of overflow or hypotonic bladder that are relavent to usmle :
DM, Multiple sclerosis, anticholinergic drugs? , ganglion blockers.
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| ricardoricardo
Forum Newbie
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Posts: 26
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i didnt know this one but i agree with u after the explanation,,,
does UTI
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| Markus2009
Forum Senior
Topics: 9
Posts: 189
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C is a very well known side effect of epidural.
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