Woman presents with mild lower back pain

Reference no: EM133702155

Question

An overweight 63-year-old woman presents with mild lower back pain. She has a history of two normal vaginal deliveries and hypertension for which she has been taking hydrochlorothiazide 25 mg qd and amlodipine 10 mg qd for many years. On further questioning, she describes feeling a sudden desire to pass urine and loss of small amounts of urine on the way to the toilet about three times per day, as well as nocturia twice a night for several months. She is able to "hold her urine" when she coughs, sneezes, or exercises. She denies dysuria, dribbling of urine, or bowel incontinence. On examination, there is no saddle anesthesia. During the cough stress test, she leaks urine 15 seconds after the cough. The postvoid residual volume is 35 mL. Urine dipstick is negative for infection. Which of the following is the most likely diagnosis? Mixed incontinence Overflow incontinence Stress incontinence Urge incontinence.

Reference no: EM133702155

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