NOCTURIA
Ask the Following Questions:
- Is there daytime frequency of urination also? If there is daytime frequency, the differential diagnosis of polyuria should be considered.
- Is there associated pain or difficulty voiding? These findings would suggest cystitis, prostatitis, and urethritis.
- Is there dyspnea, orthopnea, or peripheral edema? These findings would suggest congestive heart failure. If there is no dyspnea or edema, one should consider chronic nephritis.
DIAGNOSTIC WORKUP
Routine laboratory tests should include a CBC, sedimentation rate, urinalysis, chemistry panel, and urine culture and sensitivity. A quantitative 24-hr urine volume should be determined. If this is above normal, the differential diagnosis of polyuria should be considered and additional workup can be found on
page 372
.
Catheterization for residual urine will help determine if there is bladder neck obstruction. If congestive heart failure is suspected, a chest x-ray, EKG, and venous pressure and circulation time should be done. For further evaluation, a nephrologist or urologist may be consulted.
Book Source Details
- Book Title: Algorithmic Diagnosis of Symptoms and Signs
- Author(s): R. Douglas Collins
- Year of Publication: 2003
- Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.
Other Book Chapters Related to Enuresis
Read excerpts from these other book chapters related to Enuresis:
Medical Books Excerpts
- NOCTURIA
- "Algorithmic Diagnosis of Symptoms and Signs" (2003)
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- ENURESIS
- "Algorithmic Diagnosis of Symptoms and Signs" (2003)
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- Enuresis
- "In A Page: Pediatric Signs and Symptoms" (2007)
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- NOCTURIA
- "Differential Diagnosis in Primary Care" (2007)
- [ read ]
- Nocturia
- "Handbook of Signs & Symptoms (Third Edition)" (2006)
- [ read ]
- Enuresis
- "Handbook of Signs & Symptoms (Third Edition)" (2006)
- [ read ]
- Nocturia
- "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
- [ read ]
- Enuresis
- "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
- [ read ]
- Nocturia
- "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
- [ read ]
- Nocturia
- "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
- [ read ]
- Nocturia
- "Nursing: Interpreting Signs and Symptoms" (2007)
- [ read ]
- Enuresis
- "Nursing: Interpreting Signs and Symptoms" (2007)
- [ read ]
- NOCTURIA
- "Differential Diagnosis in Primary Care" (2007)
- [ read ]
Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.
More About Causes of Enuresis
» Next page: ENURESIS (Algorithmic Diagnosis of Symptoms and Signs)
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