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Actually, this is one of the questions in Kaplan Qbank.
7Y/O boy, a lifetime history of wedwetting. He has otherwise been completely healthy and has met all development milestones. His parents deny a history of trauma, and the history is not consistent with abuse. The patient has been wetting every night, but not during the daytime. He has no incontinence. Which of the following is the most appropriate next step in his evaluation?
A IVP B Renal ultrasound C 24-hr urine collection D Urinalysis E CT of pelvis
The correct answer is D.
However, I can think of none for lifetime bedwetting without daytime incontinence. (besides psychological causes).
can you give me examples of possible underlying organic pathologies?
Thank you.
Idiopathic Forum Guru
Topics: 19 Posts: 641
05/16/04 - 08:50 PM
#2
I think the key is that in a case of enuresis, you rule out UTI first, since the majority pathology is a UTI. Something like 5% of cases are organic in nature and there is usually a family history (i.e. inadequate ADH secretion at night). The others are all a little off.
fried water Forum Junior
Topics: 4 Posts: 57
05/17/04 - 12:37 PM
#3
idiopathic is right, only emphasis of this question here is you need to r/o UTI 1st. i really dont know any organic causes which give you enuresis but are not associated with daytime frequency, exept that there might be some familial causes (genetic.. run in families). What ideopathic said cud be the valid reason for it.. but i dont know myself. sorry.. need to study bye
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