Pediatric Bed-Wetting Quiz
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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?

  • 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?

  • 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?

  • 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?

    <p>$ ext{Nitrite} = Present$</p> Signup and view all the answers

    What does the dark yellow and cloudy appearance of urine indicate in the 9-year-old boy with recent bed-wetting and fever?

    <p>$ ext{Urinary tract infection}$</p> Signup and view all the answers

    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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    Description

    Test your knowledge on pediatric bed-wetting with these clinical scenario-based questions. Identify the affected pelvic muscles and possible targeted therapies for bed-wetting in children.

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