Q_________________________for FUN===============q2 - miracoli

[ArchivalUser]

In a pt with longstanding DM, the most likely urodynamic finding is:
A. An atonic bladder
B. A spastic bladder
C. Stress incontinence
D. Bladder sphincter dyssnergia

[ArchivalUser]

neurogenic bladder first atonic then spastic , right?

BB

[ArchivalUser]

AA......longstanding DM

[ArchivalUser]

What is neurogenic bladder? Is it atonic or spastic or both?

[ArchivalUser]

i think neurogenic bladder would be atonic bladder..

[ArchivalUser]

A is correct
-DM can cause diabetic peripheral neuropathy (LMN lesion).
-Atonic bladder implies an LMN lesion at the level of the conus medullaris, cauda equina, sacral plexus, or peripheral nerves. It is characterized by overflow incontinence and increased capacity and compliance.

[ArchivalUser]

@miracoli
then, what is the treatment? bethanechol?

[ArchivalUser]

Cholinergic medications (bethanechol). if that does not work--> Clean technique intermittent catheterization (CIC)