Exam 12: Elimination Disorders

The diurnal-only subtype of enuresis occurs in the absence of enuresis during the day and may be referred to simply as nocturnal incontinence.

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -When considering a diagnosis for the _____________ disorders, one considers chronological age or the equivalent developmental level.

The nocturnal-only subtype of enuresis, sometimes called monosymptomatic enuresis, is the most common subtype and involves incontinence only during nighttime sleep.

Johnny is a bright and well behaved 4-year old. Unfortunately he has one disgusting behavior that he is unable to control. Johnny has a problem going to the bathroom. His mother finds Johnny's feces in places other than the toilet, for example in his underwear. Johnny's feces seep out everywhere leaving a smelly mess. This has been going on for the past 3 months. His diagnosis would be:

For the child with diurnal enuresis, sometimes he or she may not use the toilet because they are busy on the playground and "forget" the urge to void.

Match each term with the appropriate definition: Term: Definition: a) Enuresis \_\_\_ Characterizes the repeated passage of feces into inappropriate places b) Noctumal only \_\_\_ Subtype of enuresis indicating passage of urine during w aking hours c) Diurnal only \_\_\_ Feces in this subtype are characteristically poorly formed, and leakage can be infrequent to continuous happening mostly during the day d) Noctumal and diurnal \_\_\_ This diagnosis is not considered if the child has a urinary tract infection e) Encopresis \_\_\_ Subtype of enuresis indicating passage of urine only during nighttime sleep f) Constipation overflow incontinence \_\_\_ Feces in this subtype are likely to be of normal form and consistency with intermittent soiling g) Without constipation \_\_\_ Subtype of enuresis indicating passage of urine and overflow during nighttime and the waking hours incontinence h) Unspecified \_\_\_ A diagnosis used when the practitioner may elimination disorder choose not to specify the reason diagnostic criteria are not met for a specific elimination disorder $\quad$

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -The _______________ disorders all involve a child's inappropriate elimination of urine or feces.

Which of the following statements accurately describes the diagnosis of encopresis?

Paul Dieringer was completely potty trained by age 4. Shortly thereafter, his baby sister was born and Paul was enrolled in preschool. His mother seemed to have less time for him and it was about that time that Paul started passing feces into inappropriate places; that is, his mother would find "evidence" in his clothing or on the floor in the back of his closet. Paul would most likely receive a diagnosis of:

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -A child should not be diagnosed with _______________ until his or her chronological age is at least 5 years or the developmental equivalent.

Elimination disorder is associated with:

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -The prevalence of ____________ declines with older age.

To assign the encopresis specifier "with constipation and overflow incontinence" the following is required:

The chronological age for the diagnosis of enuresis is:

Lax toilet training and psychosocial stress may increase the child's risk for developing enuresis.

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -A child should not be diagnosed with _______________ until his or her chronological age is at least 4 years or the developmental equivalent.

When considering the diagnosis of enuresis, the child must have reached an age at which continence is expected or, at a minimum, a chronological age of 5 years.

All of the following can be seen with the elimination disorders except:

Use the following terms to answer: Diumal Elimination Encopresis Enuresis Noctumal With constipation and overflow incontinence -A _______________ pattern of enuresis is more common in males while the ____________ pattern of incontinence is more common in females.