Hi, I have a question and I hope anyone could answer it:
For each case of bladder abnormality A–E, select the most appropriate option from the following list.
1. Atonic bladder with overflow.
2. Stress incontinence.
3. Chronic prostatic obstruction.
4. Acute retention of urine.
5. Automatic bladder.
6. Bladder diverticulum.
A. A 30-year-old woman with three children complains of wetting herself during coughing and sneezing.
B. A 20-year-old woman had a spinal injury two years ago as a result of diving into shallow water. She has lost normal control of the urinary bladder but can initiate micturition when the bladder is fairly full by pressing on the lower abdomen.
C. An 80-year-old man has been admitted to hospital as an emergency complaining of lower abdominal pain and inability to pass urine for 12 hours. In recent months he had noticed that the urinary stream was poor. On admission he has abnormal dullness to percussion over his lower abdomen and on rectal examination, enlargement of the prostate.
D. A 29-year-old man was admitted to hospital following a neck injury and paralysis of the legs. On the day after admission, knee and ankle jerks cannot be elicited and he is incontinent of urine.
E. A 75-year-old man complains of frequency of micturition and poor flow; his cystometrogram shows raised bladder pressures in the contracted state and an abnormally high residual volume.