@cardio sallu sarim plz explain - medplus222

[ArchivalUser]

An 82-year-old woman with a 20-year history of urinary incontinence has had a mild exacerbation of her symptoms over the past 3 months. Urine loss generally occurs when she is carring out daily activities such as shopping or driving and is not affected by coughing or sneezing. She underwent appendectomy at the age of 24 years. She has one daughter. She take no medications. Pelvic examination shows an atrophic cervix without a palpable uterus or an adnexal mass. CBC and urinalysis are no abnormalities.
Which of the following is the most likely cause of this patient™s urinary incontinence?
A) Detrusor instability
B) Hyperglycemia
C) Neurogenic bladder
D) Obstructive uropathy
E) Urinary tract infection

[ArchivalUser]

AA


Detrusor Instability:

Detrusor instability is characterised by spontaneous and uninhibited contraction of the detrusor muscle during bladder filling. The bladder pressure exceeds the urethral pressure resulting in incontinence (the urethral opening pressure is higher in women with detrusor instability than in those with stable bladders).

Detrusor instability is defined as the spontaneous and strong need to urinate because of uncontrollable contractions or spasms of the detrusor muscle. This condition of urge incontinence tends to be common among older women and has symptoms involving frequent urination.

Etiology:

*relatively UNKNOWN
*but it can be associated with neurological diseases such as Multiple Sclerosis, Spinal Cord Injuries and Stroke.

[ArchivalUser]

Agree to sarim.

Just watch this video to know how to differ stress, urge and overflow incontinence.

https://www.youtube.com/watch?v=NllbAYUzMJc

I know ur exam is nearby..All the best)>>

[ArchivalUser]

thanks sallu and sarim ...i knew i can count on you guys .