NBME Step 2 CK Form 8 Flaccid neurogenic bladder (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#35 (reveal difficulty score)
A 72-year-old woman is undergoing inpatient ...
Flaccid neurogenic bladder 🔍 / 📺 / 🌳 / 📖
tags: renal DDX

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submitted by ∗step_prep(148)

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Elderly patient with recent stroke leading to residual right hemiparesis presents with frequent urinary dribbling and filled bladder (palpable smooth mass in suprapubic area), most consistent with neurogenic bladder complicated by overflow incontinence
Note: Detrusor instability would lead to urgency incontinence and increased vesicourethral angle associated with stress incontinence

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palpable smooth mass tells you there is urine retention and the dribbling is from overflow incontinence = bladder is flaccid

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