bed wetting case

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE STEP 2 CS Forum » USMLE Step 2 CS Cases

bed wetting case

Author

6 Posts

Niroana
Forum Newbie

Topics: 6
Posts: 11

06/17/08 - 11:18 PM

Hi, does anybody have question should be asked about bed wetting case from FA? you response appreciated.

snowdrops
Forum Senior
avatar

Topics: 6
Posts: 148

06/18/08 - 12:03 AM

You could start asking:
1 How long time it has been like this?
2. Does this happen during day time?
3. Does anything bother him/her?
4. DD of UTI: Is any pain during urination? Frequency of urination?
5. Does he also lose control of bowel movement?
6. DD of diabetes insipidus: Does he drink lots?
I can only think about this much so far.

hitesh
Forum Master

Topics: 56
Posts: 653

06/18/08 - 12:10 AM

Its there in FA. Read that. FA is almost complete for all cases that are discussed in there.

Its practice case 30 in FA 2nd edition

___________________
Two down, 2 to go...

Niroana
Forum Newbie

Topics: 6
Posts: 11

06/18/08 - 09:14 AM

yes it is in FA, but ? I have the old edition which doesn't have this case.

hitesh
Forum Master

Topics: 56
Posts: 653

06/18/08 - 10:14 AM

Niroana wrote:
yes it is in FA, but ? I have the old edition which doesn't have this case.

then go buy the new one! j/k sticking out tongue

This might help :

HISTORY

chief complaint
frequency
time of day
onset
interventions/ drugs tried in the past?
late night eating/drinking
volume of urine
dysuria
urinary urgency
fever
urine color
hematuria
abdominal pain
constipation
snoring
night time awakening
environmental changes
major stresses
family history of enuresis
neurologic history
birth history
weight/ height/ language development
meds
past history
allergies

EXAMINATION

none

CLOSURE

DIFFERENTIAL

monosymptomatic primary nocturnal enuresis
Secondary enuresis
UTI
Constipation
Sleep Apnea
Functional bladder disorder

WORK UP

Genital exam
UA
Urine culture
First morning urine speciic gravity
U/S renal

___________________
Two down, 2 to go...

Niroana
Forum Newbie

Topics: 6
Posts: 11

06/18/08 - 02:02 PM

Thank you very much.: smiling face

You don't have permission to post.