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The diabetic patient claims that she occasionally passes urine without her will when she sneezes. This patient doesn't experience pain or difficulties while urinating. She experiences excessive urinating at night. She passes more concentrated urine at night in lower amounts (Odiek , 2007). She doesn't experience infrequent bowel movements.
She does sex with only one partner and uses condoms in all sexual intercourses (Odiek , 2007). Her menstrual cycles experience variations of less than eight days between her longest cycles and her shortest cycles. Her last menstrual flow came two weeks ago. She doesn't experience tenderness/ high sensitivity on both sides of her trunk from her ribs to the ileum . She doesn't experience tenderness / high sensitivity/ fragility in the region above the pubic bone (Odiek , 2007) . Her vasospasm (narrowing of vessels) is within normal limits.
Tests were done to her urine and no blood was found in it. Rectal digital exam show no problem with her rectum. Tests done to her sexual organ show no problem with it (Odiek , 2007). Assessments done to her sensory neuron and motor responses show that her nervous system is functioning within normal limits hence its ok. She is forty years old and she has suffered a condition that makes her pass urine without her will for about six months without any symptoms. She didn't mention this condition the last times she visited this hospital due to embarrassment . She has no fever and she doesn't have any vague feeling of discomfort (Sandvik , 2005).
Her body has adequate nutrients hence adequate energy and she doesn't experience tenderness / high sensitivity/ fragility in the region above the pubic bone and the abdomen (Sandvik , 2005). Tests done on her show that she is not able to control her urinary bladder muscles hence urine passes without her will. She has been instructed to take her urine to the laboratory so that it's chemical contents can be analyzed (Odiek , 2007). She has also been instructed to record every occurrence of un willful passage of urine and also record the foods and drinks she takes and the time she takes them (Odiek , 2007).
She has been instructed to take exercises involving controlled contraction and release of the muscles at the base of her pelvis. She has also been instructed to visit the clinic again after two weeks so that her bladder pressure can be measured (Odiek , 2007) . To interpret the above clinical information , research involving consulting medical doctors and researchers was done. This research went as far as the use of medical books. Medical books used include medical abbreviations book to get the meaning of the abbreviations used in the fictional soap. Medical terminology dictionary has been also very resourceful. This dictionary has helped give the literal meaning to the medical terms used. One major challenge is the existence of synonymous words in the medical books used. The fact that different words have different meanings in different contexts has also been a challenge. Lack of consistency in the use of abbreviations has also been a challenge. For instance "p" has been used in some cases to refer to a patient and in other cases "pt" has been used to refer to the same thing.