ENURESIS
ENURESIS
E
Environmental change ( parental divorse, changing school … )
N
Nocturia/ Nighttime awakening/ Neurologic problem
U
Urinary habit changes, Volume, # of dipers, frequency, color, blood
R
Reward or punishment. Relative similar issue
E
Eating or drinking before bedtime?
S
Stress to child and parents ( How is effected the child and you? )
I
Interventions/ drugs used before? (Did it help?)
S
Snoring/ Stress ( any magor stress that the child is facing?
PHYSICAL EXAMINATION for Enuresis:
None becuase no child will be present during exam.
Differential Diagnosis for Enuresis:
Primary nocturnal enuresis: mono symptomatic
Secondary enuresis: a/w stress such as: life or environmental changes, major illness or abuse
UTI
Diabetes mellitus
Functional bladder disorder
Diagnostic Work up for Enuresis:
Genital Exam
Urinalysis
HbA1c
Urine culture
Renal Ultrasound.