kpmle2
Forum Guru
Topics: 95
Posts: 512
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A 21-year-old woman presents to her obstetrician
for urinary problems. She states that she
has been stressed because she is working hard
to do well on her finals at college. Over the last
2 weeks she finds herself continually rushing to
the bathroom, “because I feel like I need to go,
but I can’t.” This has never happened to her
before, and she has begun wearing pads “just
in case.” She denies fevers and dysuria. She is
otherwise healthy, exercises regularly, and
takes a multivitamin daily. Her physical examination
is normal, as is her urinalysis. Cystometry
is performed, and her detrusor contraction
to bethanechol chloride is greatly exaggerated.
What is the most likely etiology of this
woman’s urinary urgency?
(A) Acute cystitis
(B) Chronic bladder distention
(C) Detrusor muscle inflammation
(D) Multiple sclerosis
(E) Pelvic floor damage
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| nightflight1945
banned
Topics: 32
Posts: 920
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Detrusor muscle inflammation
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