Archive:Urinary Incontinence

Types of incontinence

• Stress
  • Mechanism
  • Symptoms

HPI: Timing

• When: day/night
• Duration
• Flow
• Activity
• Intermittent/constant
• New or ongoing

Urinary Sx

• Dysuria
• abnormal urine
• hesitancy
• urgency
• quality of stream
• volume
• aware of urine loss
• relieving/aggrevating factors
• post void dribble

Systemic

• fever
• polydipsea
• decreased perineal sensation
• stool incontinence

PMHx Medical

• Cancer
• Diabetes
• Stones
• CVA/Parkinson's/Dementia
• hypercalcemia (exhibits polyurea and polydipsea)
• prostatic hypertrophy

Surgical

• Vaginal/pelvic
• prostate

Gyne

• Gestation/Parity

Medications

• Sedatives
• Tranquilizers
• anticholinergics
• symptomatic blockers
• diuretics

Family history

• any similar problems in family?

Social history

• Function at home
• restricted mobility
• employment
• EtOH
• Caffiene
• smoking

Review of systems

• endocrine
  • menopause/atrophic vaginitis
• neuro
  • sensory or motor changes?
• GI
  • constipation/diarrhea

Etiology

• DRIP
  • Dementia/Delerium
  • Restricted mobility
  • Infection
  • Pharmacy