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Most common type of UI in men and women? - 🧠 ANSWER ✔✔Men is
urgency and women is stress
What is urge UI? - 🧠 ANSWER ✔✔Feeling of needing to go right away.
Rush to the bathroom.
,What is stress UI? - 🧠 ANSWER ✔✔Sneezing, coughing, laughing,
pressure.
What is mixed incontinence? - 🧠 ANSWER ✔✔Both stress and urgency
Risk factors for UI? - 🧠 ANSWER ✔✔Female, obesity, dm, depression,
stroke, fecal incontinence, hysterectomy.
What is the first line therapy for most older patients with UI? - 🧠 ANSWER
✔✔Behavioral therapy
What does behavioral therapy include for UI? - 🧠 ANSWER ✔✔Weightloss,
stop caffeinated beverages and alcohol, minimize fluid intake at night, stop
smoking,loop diuretics should be taken in afternoon. Bladder trainings,
kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? - 🧠 ANSWER ✔✔Myrbetriq; can
cause high BP.
What medications can be used for urge incontinence and OAB? What are
their class? - 🧠 ANSWER ✔✔Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
,Antimuscarinics and anticholinergics should be avoided in which
patients?according to BEERS criteria - 🧠 ANSWER ✔✔Patients with
dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence? -
🧠 ANSWER ✔✔Surgery
What is the only evidenced based lifetsyle intervention for for moderately
obese younger older women with UI? - 🧠 ANSWER ✔✔Weight loss
Treatment of UI in older persons should be be proceeded how? - 🧠
ANSWER ✔✔Step wise process. Stating with addressing first comorbidities
and medications, then lifestyle interventions, behavioral treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? - 🧠 ANSWER ✔✔The most
bothersome factors
All patients with UI should be screened for?ex? - 🧠 ANSWER ✔✔Functional
status and depression.
Functional impairment can be assessed by timed up and go and minicog
test
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, Urinary frequency may reflect what ? - 🧠 ANSWER ✔✔High fluid intake,
and or use of caffeinated drinks or alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or
pelvic pain are what kind of symptoms? What should be done? - 🧠
ANSWER ✔✔Red flag symptoms. For underlying neurologic or neoplastic
disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? - 🧠
ANSWER ✔✔UI may be precipitated or worsened by outside factors of
urinary tract, including meds, mobility, environment, mentation, manual
dexterity.
What is an assessment tool for UI bother and quality of life? And can be
used to assess for the effect of treatment? - 🧠 ANSWER ✔✔Urogenital
distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? - 🧠 ANSWER ✔✔Both
behavioral and drug therapy. Than either alone
Morbidity with UI are? - 🧠 ANSWER ✔✔Skin breakdown, falls. Fractures