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Bedwetting

  • Common ddx

    • situational maladjustment (child, birth of new sibling)
    • nocturnal enuresis (child)
    • diabetes (polyuria)
    • UTI
  • Serious ddx

    • cauda equina syndrome (incontinence, neuro sx)
  • Labs

    • glc, a1c
    • UA, culture
    • MRI if neuro sx
  • HPI

    • onset
    • triggering events
    • frequency
    • quantity of urine
    • aggravates, alleviates
  • ROS

    • fever
    • incontinence, polyuria, dysuria
    • neuro: numbness, tingling, focal muscle weakness
    • back pain
  • PMH

  • FH

  • SH

    • recent stressors, birth of new siblings
    • first time vs. revert from previously being dry
  • Meds

  • Allergies

  • Px

    • vitals
    • gen impression
    • neuro: strength, sensation, reflex
  • Tx

    • watchful waiting if child < 7 and sx not bothersome
    • bedwetting alarms
    • DDAVP if alarms fail
    • TCAs used only as a last resort

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.