Palpation of uterus suggests enlargement
Palpation of uterus suggests enlargement
Palpation of uterus suggests enlargement 
Question Description
I’m working on a health & medical discussion question and need an explanation and answer to help me learn.
MP is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment.
- Six vaginal deliveries, all to full term
- Osteoarthritis
- Postmenopausal
Medications
- Boniva, 150 mg once a month
- Calcium, 500 mg daily
- Vitamin D3, one daily
Family History
- Mother, alive and well; hypertension, type 2 diabetes
- Father, deceased; cardiovascular disease, myocardial infarction at age 77
Social History
- No alcohol intake
- Previous smoker
- Walks 2 miles/day
Physical Examination
- Vital signs normal
- Palpation of uterus suggests enlargement
Labs
- Liver function: Normal
Discussion Questions
1. What factors in MP’s history would help support a diagnosis of overactive bladder?
2. The clinician prescribes oxybutynin 10 mg (extended-release). What does MP need to know about this drug?
3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does MP need to know about this new drug?
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