Urinary Incontinence

Timing

 * When: day/night
 * Duration
 * Flow
 * Activity
 * Intermittent/constant
 * New or ongoing

Urinary Sx

 * Dysuria
 * abnormal urine
 * hesitancy
 * urgency
 * quality of stream
 * volume
 * aware of urine loss
 * relieving/aggrevating factors
 * post void dribble

Systemic

 * fever
 * polydipsea
 * decreased perineal sensation
 * stool incontinence

Medical

 * Cancer
 * Diabetes
 * Stones
 * CVA/Parkinson's/Dementia
 * hypercalcemia (exhibits polyurea and polydipsea)
 * prostatic hypertrophy

Surgical

 * Vaginal/pelvic
 * prostate

Gyne

 * Gestation/Parity

Medications

 * Sedatives
 * Tranquilizers
 * anticholinergics
 * Sympathetic blockers
 * diuretics

Family history

 * any similar problems in family?

Social history

 * Function at home
 * restricted mobility
 * employment
 * EtOH
 * Caffiene
 * smoking

Review of systems

 * endocrine
 * menopause/atrophic vaginitis
 * neuro
 * sensory or motor changes?
 * GI
 * constipation/diarrhea

Etiology

 * DRIP
 * Dementia/Delerium
 * Restricted mobility
 * Infection
 * Pharmacy

Treatable causes of urinary incontinence

 * D elirium
 * I nfection--urinary (symptomatic)
 * A trophic urethritis and vaginitis
 * P harmaceuticals
 * P sychologic disorders, especially depression
 * E xcessive urine output (eg, from heart failure or hyperglycemia)
 * R estricted mobility
 * S tool impaction