What are the aspects of a comprehensive physical exam for enuresis?

Updated: Mar 26, 2020
  • Author: Wm Lane M Robson, MA, MD, FRCP, FRCP(Glasg); Chief Editor: Marc Cendron, MD  more...
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Answer

A comprehensive physical examination is important and should include the following:

  • Measurement of blood pressure
  • Inspection of external genitalia
  • Palpation in the renal and suprapubic areas to look for enlarged kidneys or bladder
  • Palpation of the abdomen to look for hard, wide stool in the left lower quadrant and up to the left upper quadrant or a hard stool mass in the suprapubic area
  • Thorough neurologic examination of the lower extremities, including gait, muscle power, tone, sensation, reflexes, and plantar responses
  • Assessment of the anal “wink”
  • Inspection and palpation of the lumbosacral spine

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