Case Study: Urinary Leakage Mable Albright is a 48-year-old, native...

Question Answered step-by-step Case Study: Urinary Leakage Mable Albright is a 48-year-old, native… Case Study: Urinary Leakage Mable Albright is a 48-year-old, native American who presents to your clinic with the complaint of urinary leakage. She relates this has been worsening over the past 2 years. She now must wear a pad all the time and states it is interfering with her work as she is going to the bathroom all the time. Medical history is negative, surgical history is remarkable for wisdom teeth and a bilateral tubal ligation. VSS: and normal 5’0 172 lbs. (BMI 33.6) QUESTIONS: What questions do you have for Mable? What are you considering for her? Mable relates she leaks when she coughs or laughs and sometimes can’t get her pants down before her urine stream starts when she goes to the bathroom. When she leaks, she states she will soak thru her underwear and pants. Occasionally, the urine will run down her legs. Mable has had 5 pregnancies she delivered at term. The first was an 8 lb. 10oz delivered by forceps, the next three were spontaneous and they weighed between 6 and 8 and ½ pounds, and her last was a 10 lb. baby for which she had a shoulder dystocia and “tore a lot”. Mable relates that sometimes after cleaning her house or standing all day, she feels a lot of pressure, but it goes away when she sits down. All her symptoms have been present since her last delivery 9 years ago, but they have been getting worse. You have Mable complete a voiding diary which shows that she drinks approximately 84 ounces of fluid through the day and voids about every 3-4 hours during the day. Her leaking has occurred when she first gets home from work. Physical exam: VVBSU, parous, vagina somewhat gaping, 1st degree cystocele Cervix parous, wnl Uterus: anteverted, 10 cm, non-tender Adnexa: without masses or tenderness Urine culture and urinalysis QUESTION: What is your differential diagnosis? Update: Urine culture and sensitivity return normal. QUESTION: What are your plans? Health Science Science Nursing NRNP 6552 Share QuestionEmailCopy link Comments (0)