This is the first reported case of a woman suffering a potentially fatal dysrhythmia and reinfarc... more This is the first reported case of a woman suffering a potentially fatal dysrhythmia and reinfarction during the same pregnancy and surviving to produce a healthy, live infant.
Assessment of patient expectation, and social and economical factors are important in choosing tr... more Assessment of patient expectation, and social and economical factors are important in choosing treatment. Lifestyle adjustment, behavioral modifications, and dietary management may benefit some patients. History General history, including drug, obstetrical, surgical, bowel and neurological evaluation should be part of the exam. The type of incontinence determined from taking the history, whether stress, urge, or mixed, is used to direct treatment. There is low correlation between urodynamic findings and symptoms of urge incontinence. However, women with pure stress incontinence symptoms are also unlikely to have detrusor overactivity on urodynamics [1]. Physical examination Genitourinary examination should include determination of estrogenic status of the vagina, caliber, description of interstitial or vaginal masses, and neurological examination. Sensation and bulbo-cavernosus reflex should be checked. Imaging Imaging is not routinely recommended. It is indicated when upper urinary tract pathology is suspected. Specific indications include neurogenic bladder, chronic high-grade pelvic organ prolapse, low compliance of the bladder, or high residual urine volumes.
This is the first reported case of a woman suffering a potentially fatal dysrhythmia and reinfarc... more This is the first reported case of a woman suffering a potentially fatal dysrhythmia and reinfarction during the same pregnancy and surviving to produce a healthy, live infant.
Assessment of patient expectation, and social and economical factors are important in choosing tr... more Assessment of patient expectation, and social and economical factors are important in choosing treatment. Lifestyle adjustment, behavioral modifications, and dietary management may benefit some patients. History General history, including drug, obstetrical, surgical, bowel and neurological evaluation should be part of the exam. The type of incontinence determined from taking the history, whether stress, urge, or mixed, is used to direct treatment. There is low correlation between urodynamic findings and symptoms of urge incontinence. However, women with pure stress incontinence symptoms are also unlikely to have detrusor overactivity on urodynamics [1]. Physical examination Genitourinary examination should include determination of estrogenic status of the vagina, caliber, description of interstitial or vaginal masses, and neurological examination. Sensation and bulbo-cavernosus reflex should be checked. Imaging Imaging is not routinely recommended. It is indicated when upper urinary tract pathology is suspected. Specific indications include neurogenic bladder, chronic high-grade pelvic organ prolapse, low compliance of the bladder, or high residual urine volumes.
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