PBL- Neurogenic Bladder in Parkinson Disease
Автор: OpenMedSchool
Загружено: 2025-07-12
Просмотров: 65
Описание:
PBL Slide: Neurogenic Bladder in Parkinson Disease
Case Summary
Patient: 75-year-old woman
Symptoms: Nocturia, urgency, frequency
PMH: Parkinson disease, hypertension, hypothyroidism, PVD
Exam: Tremor, bradykinesia
Urinalysis: Negative
PVR: 270 mL
Imaging: No obstruction
Key Issue
High PVR → Incomplete bladder emptying
Parkinson’s → Detrusor underactivity + possible overactivity
"Lower urinary tract dysfunction is common in Parkinson disease, often mixed: urgency + impaired emptying."— StatPearls: Parkinson Disease, 2024
What NOT To Do
Avoid immediate antimuscarinics → May worsen retention
"Anticholinergics can exacerbate incomplete emptying."— Campbell-Walsh Urology
Next Best Step
Start Clean Intermittent Self-Catheterization (CISC)
Relieve retention
Prevent complications
"CISC is the mainstay for significant incomplete emptying in neurogenic bladder."— Campbell-Walsh Urology
Optional: Add mirabegron later if urgency persists & PVR stable
Повторяем попытку...
Доступные форматы для скачивания:
Скачать видео
-
Информация по загрузке:
