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{ | {| class="wikitable" | ||
== | |+ | ||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Types of urinary incontinence | |||
= | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Details | ||
|- | |||
| style="background:#DCDCDC;" + |Physiological | |||
|It is expected and seen as a norm in the early years. | |||
== | Requires a minimum age of 5 years, at least one event in a month, and a minimum period of 3 months. | ||
== | |||
Persisting beyond the age of 5 years is termed pathological. | |||
== | |||
== | However, there are the 'late developers' who continue to experience physiologic urinary incontinence beyond the age of 5 years. | ||
== | |||
== | Clinical evaluation of these kids remains normal. | ||
|- | |||
| rowspan="4"style="background:#DCDCDC;" +|Pathological | |||
|Organic: usually uncommon. In-depth investigations needed to be identified more so in cases that have not responded to conventional treatment | |||
|- | |||
|Functional or psychosomatic urinary incontinence: includes all forms of pathological urinary incontinence without anatomic or neurologic defects. Manifestations of which have been subdivided into: | |||
|- | |||
|Monosymtomatic enuresis(MEN): These kids have never had a dry period of >6 months and in the absence of any bladder dysfunction or symptoms suggestive of lower urinary tract issues | |||
|- | |||
|Non-monosymptomatic enuresis Nocturna(Non-MEN): diurnal presentation with an urge, frequency, and enuresis. | |||
|} | |||
{| class="wikitable" | |||
|+ | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Non-Infectious | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Disease | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Immune-mediated/Autoimmune | |||
|Kawasaki Disease | |||
Henoch-Schönlein Purpura | |||
Juvenile Rheumatoid Arthritis | |||
Juvenile Dermatomyositis | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Drug-related eruptions | |||
|Erythema multiforme | |||
SJS | |||
TEN | |||
|} | |||
{| class="wikitable" | |||
|+ | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Infectious | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Disease | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Causative Organism | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Viral | |||
|Measles | |||
German Measles | |||
Erythema infectiosum | |||
Roseola infantum | |||
Herpangina | |||
Hand-foot-and-mouth disease | |||
Molluscum contagiosum | |||
Chickenpox | |||
|Rubeola | |||
Rubella | |||
Parvovirus B19 | |||
Human Herpes Virus 6 & 7 | |||
Coxsackie virus | |||
Coxsackie virus | |||
Poxvirus | |||
Varicella Zoster virus | |||
|- | |||
| rowspan="8" align="center" style="background:#DCDCDC;" + |Bacterial | |||
|Meningococcemia<br /> | |||
|Neisseria meningitidis | |||
Hemophilus influenzae | |||
Streptococcus pneumoniae | |||
<br /> | |||
|- | |||
|RMSF | |||
|Rickettsia rickettsii | |||
|- | |||
|HUS | |||
|Enterohemorrhagic E.coli (EHEC) | |||
|- | |||
|Scarlet Fever | |||
|Streptococcus pyogenes (Group A Streptococci, GAS) | |||
|- | |||
|Disseminated gonococcal disease in adolescents | |||
|Neiserria gonorrhoea | |||
|- | |||
|SSSS | |||
TSS | |||
|Staphylococcus aureus | |||
|- | |||
|Lyme disease | |||
|Borrelia burgdorferi | |||
|- | |||
|Relapsing fever | |||
|Borrelia recurrentis | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Protozoan | |||
|Babesiosis | |||
|Babesia microti | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Fungal | |||
|Histoplasmosis | |||
Blastomycosis | |||
Coccidiodomycosis | |||
Paracoccidiodomycosis | |||
|Histoplasma capsulatum | |||
Blastomyces dermatitidis | |||
Coccidioides immitis | |||
Paracoccidioides brasiliensis | |||
|} | |||
{| class="wikitable" | |||
|+ | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Fever + Rash Morphology | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Disease | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Non-blanching lesions | |||
|a. Meningococcemia | |||
b. Rocky Mountain Spotted Fever (RMSF) | |||
c. Hemolytic Uremic Syndrome (HUS) | |||
d. Henoch-Schőnlein Purpura (HSP) | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Blanching rash | |||
|a. Kawasaki disease | |||
b. Juvenile Rheumatoid Arthritis | |||
c. Juvenile Dermatomyositis | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Vesicular or bullous lesions | |||
|a. Erythema multiforme | |||
b. Steven-Johnson-Syndrome (SJS) and Toxic Epridermal Necrolysis (TEN) | |||
c. Staphylococcal Scalded Skin Syndrome (SSSS) | |||
d. Disseminated gonococcal disease in adolescents | |||
e. HSV I & II | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Umbilicated papules and pustules | |||
|a. Molluscum contagiosum | |||
b. Varicella/Chickenpox | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Sandpaper rash | |||
|a. Scarlet fever | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Viral syndromes | |||
|a. Measles (Rubeola) | |||
b. Rubella (German measles) | |||
c. Erythema infectiosum (Parvovirus B-19) | |||
d. Herpangina (Coxsackie) | |||
e. Hand-foot-and-mouth disease (Coxsackie) | |||
f. Roseola infantum (Human Herpes Virus types 6 or 7) | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Unclassified/Limited to certain geographical areas | |||
|a. Babesiosis | |||
b. Blastomycosis | |||
c. Coccidiodomycosis | |||
d. Histoplasmosis | |||
e. Colorado Tick Fever | |||
f. Lyme disease | |||
g. Relapsing fever | |||
h. Colorado Tick Fever | |||
|} | |||
There are several types of skin rashes classified based on size, consistency, color, etc. Below are some of the common ones encountered in clinical practice. | |||
{| class="wikitable" | |||
|+ | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Type of Rash/Lesion | |||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Description | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Macule | |||
|flat, circumscribed, usually <1cm in diameter | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Papule | |||
|raised/elevated lesion <1cm in diameter | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Maculopapular | |||
|combination of both macules and papulus | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Nodule | |||
|papule in deeper dermis or subcutaneous tissue | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Pustule | |||
|circumscribed raised lesion containing purulent material | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Vesicle | |||
|circumscribed elevated skin lesion usually <1cm containing fluid | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Bulla | |||
|Bigger vesicle (>1cm and containing fluid) | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Purpura | |||
|non-blanching papules or macules due to extravasation of RBCs | |||
|- | |||
| align="center" style="background:#DCDCDC;" + |Petechiae | |||
|non-blanching pinpoint unraised spots usually measuring <2mm in size | |||
|} | |||
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|} | |} | ||
Practice here | Practice here | ||
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|- | |- | ||
| colspan="1" style="text-align:center; background:DarkGray" | | | colspan="1" style="text-align:center; background:DarkGray" | | ||
'''Urinary incontinence in children Microchapters''' | |||
|- bgcolor="LightGrey" | |||
! | |||
|- bgcolor="Pink" | |||
|- bgcolor=" | ! | ||
[[Urinary incontinence in children#Overview|Overview]] | |||
|- | |||
! | |||
|- bgcolor="Pink" | |||
! | |||
[[Urinary incontinence in children#Historical Perspective|Historical Perspective]] | |||
|- | |||
! | ! | ||
|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Classification|Classification]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Pathophysiology|Pathophysiology]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Causes|Causes]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Differential Diagnosis|Differential Diagnosis]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Epidemiology and Demographics|Epidemiology and Demographics]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Risk factors|Risk factors]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Natural History, Complications and Prognosis|Natural History, Complications and Prognosis]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Diagnosis|Diagnosis]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Treatment|Treatment]] | ||
|- | |- | ||
! | ! | ||
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|- bgcolor="Pink" | |- bgcolor="Pink" | ||
! | ! | ||
[[ | [[Urinary incontinence in children#Prevention|Prevention]] | ||
|- | |- | ||
! | ! | ||
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|- | |- | ||
|} | |} | ||
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==References== | ==References== | ||
<references /> |
Latest revision as of 02:05, 21 February 2021
Types of urinary incontinence | Details |
---|---|
Physiological | It is expected and seen as a norm in the early years.
Requires a minimum age of 5 years, at least one event in a month, and a minimum period of 3 months. Persisting beyond the age of 5 years is termed pathological. However, there are the 'late developers' who continue to experience physiologic urinary incontinence beyond the age of 5 years. Clinical evaluation of these kids remains normal. |
Pathological | Organic: usually uncommon. In-depth investigations needed to be identified more so in cases that have not responded to conventional treatment |
Functional or psychosomatic urinary incontinence: includes all forms of pathological urinary incontinence without anatomic or neurologic defects. Manifestations of which have been subdivided into: | |
Monosymtomatic enuresis(MEN): These kids have never had a dry period of >6 months and in the absence of any bladder dysfunction or symptoms suggestive of lower urinary tract issues | |
Non-monosymptomatic enuresis Nocturna(Non-MEN): diurnal presentation with an urge, frequency, and enuresis. |
Non-Infectious | Disease |
---|---|
Immune-mediated/Autoimmune | Kawasaki Disease
Henoch-Schönlein Purpura Juvenile Rheumatoid Arthritis Juvenile Dermatomyositis |
Drug-related eruptions | Erythema multiforme
SJS TEN |
Infectious | Disease | Causative Organism |
---|---|---|
Viral | Measles
German Measles Erythema infectiosum Roseola infantum Herpangina Hand-foot-and-mouth disease Molluscum contagiosum Chickenpox |
Rubeola
Rubella Parvovirus B19 Human Herpes Virus 6 & 7 Coxsackie virus Coxsackie virus Poxvirus Varicella Zoster virus |
Bacterial | Meningococcemia |
Neisseria meningitidis
Hemophilus influenzae Streptococcus pneumoniae
|
RMSF | Rickettsia rickettsii | |
HUS | Enterohemorrhagic E.coli (EHEC) | |
Scarlet Fever | Streptococcus pyogenes (Group A Streptococci, GAS) | |
Disseminated gonococcal disease in adolescents | Neiserria gonorrhoea | |
SSSS
TSS |
Staphylococcus aureus | |
Lyme disease | Borrelia burgdorferi | |
Relapsing fever | Borrelia recurrentis | |
Protozoan | Babesiosis | Babesia microti |
Fungal | Histoplasmosis
Blastomycosis Coccidiodomycosis Paracoccidiodomycosis |
Histoplasma capsulatum
Blastomyces dermatitidis Coccidioides immitis Paracoccidioides brasiliensis |
Fever + Rash Morphology | Disease |
---|---|
Non-blanching lesions | a. Meningococcemia
b. Rocky Mountain Spotted Fever (RMSF) c. Hemolytic Uremic Syndrome (HUS) d. Henoch-Schőnlein Purpura (HSP) |
Blanching rash | a. Kawasaki disease
b. Juvenile Rheumatoid Arthritis c. Juvenile Dermatomyositis |
Vesicular or bullous lesions | a. Erythema multiforme
b. Steven-Johnson-Syndrome (SJS) and Toxic Epridermal Necrolysis (TEN) c. Staphylococcal Scalded Skin Syndrome (SSSS) d. Disseminated gonococcal disease in adolescents e. HSV I & II |
Umbilicated papules and pustules | a. Molluscum contagiosum
b. Varicella/Chickenpox |
Sandpaper rash | a. Scarlet fever |
Viral syndromes | a. Measles (Rubeola)
b. Rubella (German measles) c. Erythema infectiosum (Parvovirus B-19) d. Herpangina (Coxsackie) e. Hand-foot-and-mouth disease (Coxsackie) f. Roseola infantum (Human Herpes Virus types 6 or 7) |
Unclassified/Limited to certain geographical areas | a. Babesiosis
b. Blastomycosis c. Coccidiodomycosis d. Histoplasmosis e. Colorado Tick Fever f. Lyme disease g. Relapsing fever h. Colorado Tick Fever |
There are several types of skin rashes classified based on size, consistency, color, etc. Below are some of the common ones encountered in clinical practice.
Type of Rash/Lesion | Description |
---|---|
Macule | flat, circumscribed, usually <1cm in diameter |
Papule | raised/elevated lesion <1cm in diameter |
Maculopapular | combination of both macules and papulus |
Nodule | papule in deeper dermis or subcutaneous tissue |
Pustule | circumscribed raised lesion containing purulent material |
Vesicle | circumscribed elevated skin lesion usually <1cm containing fluid |
Bulla | Bigger vesicle (>1cm and containing fluid) |
Purpura | non-blanching papules or macules due to extravasation of RBCs |
Petechiae | non-blanching pinpoint unraised spots usually measuring <2mm in size |
classification | ||||
---|---|---|---|---|
SCC | ||||
BCC | ||||
Melanoma | ||||
Practice here
Criteria | Symptomatic WM | Asymptomatic WM | IgM-Related Disorders | MGUS |
---|---|---|---|---|
IgM monoclonal protein | + | + | + | + |
Bone marrow infiltration | + | + | - | - |
Symptoms attributable to IgM | + | - | + | - |
Symptoms attributable to tumor infiltration | + | - | - | - |
Urinary incontinence in children Microchapters |