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I heard that orthostatic hypotension can cause urinary urgency

Posted By: EvaEv on 2008-05-14
In Reply to: urinary urgency - help please

Subject: I heard that orthostatic hypotension can cause urinary urgency




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urinary urgency
Subject: urinary urgency

Patient has urinary urgency.  She has a hisotry of urge incontinence.  There are no side effects reported such as dry mouth or s/l f-sat-ic symptoms. 


Thanks


it's orthostatic hypotension
Subject: it's orthostatic hypotension


yes, but also used to treat orthostatic hypotension sm
Subject: yes, but also used to treat orthostatic hypotension sm

Beta Blockers

Beta blockers have also been studied for the treatment of orthostatic hypotension.9 The three agents most widely studied are propranolol, piûdolol, and xamoterol. Propranolol’s mechanism of action is believed to be antagonism of beta-controlled vasodilator effects of catecholamines. Pindolol is a nonselective beta blocker with intrinsic sympathomimetic activity. Patients with orthostatic hypotension may have reduced sympathomimetic activity, and the agonist properties of pindolol account for its usefulness in these patients. Xamoterol, a partial beta1-selective agonist, has been shown to be useful in patients unable to tolerate pindolol. Because xamaterol is an investigational agent, its usefulness is limited. Nevertheless, a New Drug Application has been filed with the FDA.
perhaps iatrogenic orthostatic hypOtension? nm
Subject: perhaps iatrogenic orthostatic hypOtension? nm


orthostatic hypotension (blush!)
Subject: orthostatic hypotension (blush!)


Ever heard of s/l Rimcil for stress urinary incontinence?
Subject: Ever heard of s/l Rimcil for stress urinary incontinence?


PUF score (pain|urgency|frequency)...sm
Subject: PUF score (pain|urgency|frequency)...sm

if this is for interstitial cystitis or urologic pain syndrome of some kind, only thing i can think of is perhaps "perineal ROM" =range of movement...a test for myofascial trigger points...
could it be orthostatic? nm
Subject: could it be orthostatic? nm


orthostatic hypertension
Subject: orthostatic hypertension


Hypotension
Subject: Hypotension

Could they be saying orthostatic hypotension?
Hypotension? Often associated with these.
Subject: Hypotension? Often associated with these.

Doesn't really sound like your s/l though.


hydrogenic orthostatic hypertension
Subject: hydrogenic orthostatic hypertension

I'm pretty sure this is what the doctor is saying...just wondering if anyone has ever heard of it.  It's listed under Past Medical History by itself so no clues. The only word I'm somewhat unsure of is the hydrogenic.


 


hydrogenic orthostatic hypertension
Subject: hydrogenic orthostatic hypertension

it probably is iatrogenic (caused by medication) instead of hydrogenic. good luck.
Orthostatic blood pressure
Subject: Orthostatic blood pressure

How do you write orthostatic blood pressure values since there are 3 numbers?
sorry, s/l ru-static HYPOtension
Subject: sorry, s/l ru-static HYPOtension

Thank you
Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm
Subject: Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm

He states that he has lightheaded sensation and vertigo on change of position of the head, whether it is __ or with orthostatic positional changes.  (Later in dictation, doc says "His dizziness is associated with head position.  However, it is both with head turning side to side, as well as orthostasis.", so the word seems to be related to the turning head maybe??)
s/l mild derm and hypotension
Subject: s/l mild derm and hypotension

The patient has been doing well in rehab except for some s/l mild derm and hypotension.


TIA!


Hear positional hypotension often...nm
Subject: Hear positional hypotension often...nm

s
treatment for persistent hypotension--sm
Subject: treatment for persistent hypotension--sm

what I found for treating this was *vial of adenosine* or a vial of *sodium bicarbonate*.
would not list anything related to hypotension in there
Subject: would not list anything related to hypotension in there

Is the doctor perhaps trying a variation of no suicidal ideation or homicidal ideation as an abbreviation? (suicidal ideation/homicidal) That is what I hear mostly in that context.
Neuro help - postural hypotension
Subject: Neuro help - postural hypotension

The diagnosis is postural hypotension and during the exam the physician states

She has no post head shake nystagmus and she has no catch up s/l sick-ons that are noted after performing head thrust maneuvers.


Urinary catheter
Subject: Urinary catheter

Dr says Couday tipped catheter was inserted with good results.


Any help on Couday or Cuday?  Cannot document.


TIA


Is this for urinary tract? nm
Subject: Is this for urinary tract? nm


I think she does mean continent urinary SM
Subject: I think she does mean continent urinary SM

conduit, but she is saying incontinent urinary conduit. Thanks for your help :)
Penim? urinary... thanks!
Subject: Penim? urinary... thanks!

xx
Would help to know what it's for. GI, urinary or cerebral palsy, etc. nm
Subject: Would help to know what it's for. GI, urinary or cerebral palsy, etc. nm


Procedure for urinary incontinence...
Subject: Procedure for urinary incontinence...

Monarch?  Monarc?  Thanks!
"imipramine" is sometimes used for urinary incontinence ./nm
Subject: "imipramine" is sometimes used for urinary incontinence ./nm

.
Uristat. Urinary analgesic. sm
Subject: Uristat. Urinary analgesic. sm

It is phenazopyridine. Also in that line are Azo-Standard, Pyridium etc.


 


 


 


alteration in urinary habits? sm
Subject: alteration in urinary habits? sm

 ---From University of Florida ROS page:---


 


Genitourinary
Urgency, frequency, dysuria, nocturia, hematuria, polyuria, oliguria, unusual (or change in) color of urine, stones, infections, nephritis, hesitancy, change in size of stream, dribbling, acute retention or incontinence, libido, potency, genital stores, discharge, venereal disease
(Female) Age of onset of menses, regularity, last period, dysmenorrhea, menorrhagia, or metrorrhagia, vaginal discharge, post-menopausal bleeding, dyspareunia, number and results of pregnancies (gravida, para)

Urinary tract infection
Subject: Urinary tract infection


urinary tract infection
Subject: urinary tract infection

I know that everyone says "a urinary tract infection," but should it not be "an urinary tract infection?"
Thx - She does have stress urinary incontinence
Subject: Thx - She does have stress urinary incontinence

So I'll bet its that. Going to take another listen.

Thank you so much.
Monteurochannel for urinary incontinence
Subject: Monteurochannel for urinary incontinence


s/l Monteurochannel with ileocystoplasty for urinary incontinence.  Cannot find anything even close! 


Zytora 20 mg ?? Possibly for urinary incontinence.
Subject: Zytora 20 mg ?? Possibly for urinary incontinence.

Thank you!
Type of urinary tract infection (??)
Subject: Type of urinary tract infection (??)

Report is related to a resistant urinary tract infection.  Doc says, "She was found to have a (s/l perodeus merabolis) that was resistant to Bactrim." 


THANKS!!!!


urinary system, Schned, Schnett
Subject: urinary system, Schned, Schnett

thanks!
Procedure for stress urinary incontinence
Subject: Procedure for stress urinary incontinence

s/l Para G cystocele suspension


TIA!


maybe "bethanechol" - has diabetes, could have urinary frequency. /nm
Subject: maybe "bethanechol" - has diabetes, could have urinary frequency. /nm

.
medication s/l "phenestroid" for urinary frequency... TY
Subject: medication s/l "phenestroid" for urinary frequency... TY


GENITAL/URINARY: No cause for s/l tingulary tenderness
Subject: GENITAL/URINARY: No cause for s/l tingulary tenderness


Could be nitrite... especially if the patient has a urinary infection
Subject: Could be nitrite... especially if the patient has a urinary infection


bas fond. It is the fundus of the urinary bladder.
Subject: bas fond. It is the fundus of the urinary bladder.

nm.

urinary infection with S/L soracea syndrome???
Subject: urinary infection with S/L soracea syndrome???


Yippee! Got it! artificial urinary sphincter :-) nm
Subject: Yippee! Got it! artificial urinary sphincter :-) nm

xx
Urinary urine was obtained from catheter.
Subject: Urinary urine was obtained from catheter.

Does this sound right or should the first Urinary be edited out. Thanks for any suggestions.
Pelvic exam: No s/l da ma sil stress urinary incontinence
Subject: Pelvic exam: No s/l da ma sil stress urinary incontinence

Thanks for any help.
Can you hear no demonstrable stress urinary incontinence? nm
Subject: Can you hear no demonstrable stress urinary incontinence? nm

.
[surasia] urinary tract infection ??? Any help appreciated! Thx ME
Subject: [surasia] urinary tract infection ??? Any help appreciated! Thx ME


Could it be a heading under PE? ex: Urinary: Urine obtained from cath...
Subject: Could it be a heading under PE? ex: Urinary: Urine obtained from cath...


urinary tract infection - greater than 100,000 ??? negative rods
Subject: urinary tract infection - greater than 100,000 ??? negative rods