S2D: The Symptom to Diagnosis Podcast Incontinence
Mar 16, 2022
The podcast discusses the diagnosis and management of urinary incontinence, including strategies for managing incontinence, the importance of a detailed neurological exam and urinalysis, misconceptions about starting medication for urgent continents, and the role of physical therapists in treating incontinence.
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Cancer Patient Incontinence
- Adam Cifu recalls a case of an elderly woman with metastatic cancer who developed incontinence.
- His co-intern noticed the urine smell and the patient confirmed the new symptom.
Incontinence Types
- Incontinence is common, but this case doesn't fit typical stress or urge incontinence.
- Overflow incontinence, possibly due to spinal cord lesion, is a concern in metastatic cancer.
Acute Incontinence Assessment
- Consider UTI, IV fluids, immobility, and hypercalcemia in acute incontinence.
- A detailed neurological exam, urinalysis, and bladder scan are crucial.