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Nocturnal enuresis

Summary of Nocturnal enuresis
Nocturnal enuresis or nighttime urinary incontinence is involuntary urination while asleep, after the age at which bladder control usually occurs. Nocturnal enuresis is considered primary when a child has not yet had a prolonged period of being dry. Secondary nocturnal enuresis is when a child or adult begins wetting again after having stayed dry. The most common cause is neurological-developmental delay. Other causes include low ADH levels, infections, and psychological issues.



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Nocturnal enuresis


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High Yield Notes
5 pages

Nocturnal enuresis

8 flashcards

USMLE® Step 2 style questions USMLE

3 questions

A 4-year-old boy comes to the office because of monosymptomatic enuresis for the past month. He has a one year history of ADHD that is well-managed with medication. A detailed patient history and physical examination, as well as a fluid intake, stool and voiding diary reveal no abnormalities. Urinalysis is unremarkable. The parent and child are referred for education and behavioral therapy. The enuresis decreases, but persists. Which of the following is the most appropriate next step in management of this patient?