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Your search for urinary incontinence returned 100 results

Your search for urinary incontinence returned 100 results

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Hospital Medicine

Vulvovaginal cancer

I. What every physician needs to know. Vulvar cancer is malignancy affecting the mons pubis, clitoris, labia majora or minora, or the vaginal vestibule. Pathology is almost always squamous cell carcinoma, although the verrucous carcinoma variant of squamous cell carcinoma, melanomas, cloacogenic, adenocarcinoma, neuroendocrine, and sarcoma histologies are also seen. Typical management is surgery for…
Nephrology Hypertension

Kidney Transplantation: Diagnosis and Management of Early Graft Dysfunction – Post-Renal Causes and Treatments

Does this patient have early graft dysfunction related to post-renal causes? What is early graft dysfunction? Kidney transplantation is the preferred mode of renal replacement therapy for end stage renal disease, with dramatic improvements in patient and graft survival over the last 50 years. In the modern era of immunosuppression, one year patient survival is…
Hospital Medicine

Spinal shock

Spinal shock I. What every physician needs to know. Spinal shock refers to a clinical syndrome characterized by the loss of reflex, motor and sensory function below the level of a spinal cord injury (SCI). In some instances (possibly when lesion is T6 or higher), this syndrome is associated with loss of autonomic tone leading…
Dermatology

Intertrigo (Intertrigo Candidiasis)

Are You Confident of the Diagnosis? Intertrigo is inflammation of the skin localized to the axillary, inguinal, and/or inframammary skin folds (intertriginous regions). The etiology and differential diagnosis for a rash at these sites is broad and can be seen in many cutaneous diseases. This term can be used to describe both inflammatory dermatoses and…
Hospital Medicine

Pelvic/Supra-pubic Pain

Pelvic/Supra-Pubic Pain I. Problem/Condition. Pelvic/supra-pubic pain has a wide and varied differential diagnosis. This differential is driven by the overlying structures (skin) as well as the internal organs that populate the pelvic and supra-pubic areas. It is important to understand the quality of the pain (constant versus colicky, dull versus sharp) and consider the time…
Hospital Medicine

Spinal cord tumors and compression

I. What every physician needs to know. Diagnosis of spinal cord compression is usually urgent given the dense concentration of motor and sensory pathways in a small area. Delay in diagnosis can lead to lifelong immobility, bladder dysfunction and decreased survival irrespective of the underlying pathological diagnosis. Early recognition may reverse neurological deficits and because…
Dermatology

Decubitus Ulcer (Chronic ulcer of skin, pressure ulcer, bedsore, pressure sore, tissue necrosis, decubiti, decubitus, trophic ulcer, decubitus ominosus/chronicus, cuticular necrosis, skin ulcer)

Are You Confident of the Diagnosis? Characteristic findings on physical examination The diagnosis is made by observation (Figure 1, Figure 2, Figure 3).  An ulcer reflects a break in the skin that can even extend to the underlying bone. Figure 1. Non-blanchable erythema and decubitus dermatitis Figure 2. Superficial ulcer Figure 3. Deep ulcer with necrotic…
Hospital Medicine

Vertebral osteomyelitis and discitis

Vertebral osteomyelitis I. What every physician needs to know. Osteomyelitis, an infection of bone, is usually caused by pyogenic bacteria and mycobacteria. Microorganisms can enter the bone by hematogenous dissemination, by spread from a contiguous focus of infection, or by a penetrating wound. Trauma, ischemia, and foreign bodies enhance the susceptibility of bone to microbial…
Hospital Medicine

Left upper quadrant Abdominal Pain

Left Upper Quadrant Abdominal Pain I. Problem/Condition. Left upper quadrant (LUQ) pain has a wide and varied differential diagnosis. This differential is driven by the overlying structures (skin) as well as the internal organs that populate the LUQ of the abdomen. It is important to understand the quality of the pain (constant versus colicky, dull…
Critical Care Medicine

Pediatric Oncologic Emergencies

Synonyms Hyperleukocytosis with risk of cerebral vascular accident and acute respiratory distress syndrome Mediastinal Mass (MM) Superior Vena Cava Syndrome (SVCS) Fever Neutropenia (FN) Sepsis*: discussed in Sepsis chapter Disseminated Intravascular Coagulation (DIC)*: discussed in Coagulopathy chapter Typhlitis Increased Intercranial Pressure (ICP)*: discussed in ICP chapter Spinal Cord Compression (SCC) Related Conditions Hypocalcemia, hyperphosphatemia, acute…
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