Duke PA Pelvic Floor Disease
Help!
|
|
||||
|---|---|---|---|---|---|
| As many as __% of women will have urinary incontinence at some point in their lifetime | 45
🗑
|
||||
| Hypermobility, intrinsic sphincter deficiency | Stress incontinence
🗑
|
||||
| Detrusor overactivity, overactive bladder | Urge incontinence (hyper-irritable, unstable, detrusor contractions)
🗑
|
||||
| Urge incontinence, think __ | Neurologic problem
🗑
|
||||
| Overflow incontinence, think __ | Inability to void
🗑
|
||||
| Increased abdominal pressure, coughing or straining, not associated with urge | Stress incontinence
🗑
|
||||
| Often large volume, associated with strong desire to void, may be precipitated by sounds | Urge incontinence
🗑
|
||||
| Pinpoints the site of urinary incontinence by assessing the bladder, urethra and pelvic support | Urodynamic testing (considered gold standard)(although has poor neg predictive value)
🗑
|
||||
| __ has proven ineffective for the treatment of stress incontinence | Pharmacotherapy
🗑
|
||||
| Premise of the suburethral sling | Support the urethra and bladder neck with hammock that provides stabilization of urethra at rest and dynamic compression of urethra with increased intraabdominal pressure
🗑
|
||||
| Intrinsic Sphincter Deficiency, think: | stress incontinence
🗑
|
||||
| Contributors to intra-abdominal pressure (may lead to incontinence) | Childbirth, obesity, asthma, smoking, chronic heavy lifting
🗑
|
||||
| MOA of pelvic floor damage | Mx disruption; Peripheral nerve damage; Connective tissue damage (inc lacerations of perineal body)
🗑
|
||||
| the most commonly associated inciting factor for incontinence. | Childbirth
🗑
|
||||
| Causes of stress UI | Childbirth; PF mx weakness; decreased collagen synthesis; previous pelvic surgery (eg, hysterectomy); Smoking, chronic constipation; Aging, estrogen deficiency
🗑
|
||||
| Extraurethral incontinence: | fistulas
🗑
|
||||
| Goal of urodynamic testing | reproduce symptoms of leakage in order to direct therapy
🗑
|
||||
| Effective tx for SUI | Behavioral (mx exercises, biofeedback); Pessary; surg
🗑
|
||||
| Tx for urge incontinence | Behavioral Tx; Meds (Anticholinergics); Peripheral neuromodulation (inter-stim); Botox Injections
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bwyche
Popular Medical sets