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Questions and Answers
What is the most likely diagnosis for the 9-year-old boy who has been wetting the bed for one month and has a history of fever and foul-smelling urine?
What is the most likely diagnosis for the 9-year-old boy who has been wetting the bed for one month and has a history of fever and foul-smelling urine?
- Nocturnal enuresis
- Normal pattern at this age
- Improper personal hygiene
- Urinary tract infection (correct)
Which pelvic muscle is affected in the 8-year-old boy with bed-wetting issues, and what is the possible targeted therapy?
Which pelvic muscle is affected in the 8-year-old boy with bed-wetting issues, and what is the possible targeted therapy?
- Perianal
- Rectus
- Pelvic floor
- Detrusor (correct)
What is the most likely cause of bed-wetting in the 9-year-old boy who used to be dry since 7 years and now presents with nocturnal enuresis?
What is the most likely cause of bed-wetting in the 9-year-old boy who used to be dry since 7 years and now presents with nocturnal enuresis?
- Urinary tract infection (correct)
- Stress at school
- Excessive fluid intake before bedtime
- Normal developmental variation
What additional finding on urinalysis supports the diagnosis of urinary tract infection in the 9-year-old boy?
What additional finding on urinalysis supports the diagnosis of urinary tract infection in the 9-year-old boy?
What does the dark yellow and cloudy appearance of urine indicate in the 9-year-old boy with recent bed-wetting and fever?
What does the dark yellow and cloudy appearance of urine indicate in the 9-year-old boy with recent bed-wetting and fever?
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Study Notes
Bed-Wetting Diagnosis
- The most likely diagnosis for the 9-year-old boy who has been wetting the bed for one month and has a history of fever and foul-smelling urine is a urinary tract infection (UTI).
Affected Pelvic Muscle
- The pelvic muscle affected in the 8-year-old boy with bed-wetting issues is the detrusor muscle.
- Targeted therapy for the detrusor muscle could be bladder training and relaxation techniques.
Cause of Bed-Wetting
- The most likely cause of bed-wetting in the 9-year-old boy who used to be dry since 7 years and now presents with nocturnal enuresis is a urinary tract infection (UTI).
Urinalysis Findings
- Additional findings on urinalysis that support the diagnosis of urinary tract infection in the 9-year-old boy include the presence of nitrites, leukocyte esterase, and red or white blood cells in the urine.
Urine Appearance
- The dark yellow and cloudy appearance of urine in the 9-year-old boy with recent bed-wetting and fever indicates a possible urinary tract infection (UTI) and dehydration.
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