@@acingmedicine thanks!! I just saw the one on ARR , but i still have trouble in understanding the probabilty ones like for eg.. those questions that ask - after 2 years what would be the survival if the pt has survived the first year
So First Aid shows neurogenic bladder only as a cause over overflow incontinence, and only UTI as a cause of urgency incontinene. So neurogenic bladder should be a cause of both urgenty & overflow?
Neurogenic bladder implies nerve injury to the bladder innervation. Depending on what level it occured will decide whether it leads to detrusor muscle overactivity or underactivity. An upper motor neuron lesion leads to detrusor overactivity (spastic paralysis) and urge incontinence. A lower motor neuron lesion leads to detrusor underactivity (flaccid paralysis) and overflow incontinence. I hope this makes sense :)
The 2 Q would be labelled as overflow incontinence if the injury would be in the sacral region ? If it’s above it , that means UMN which would be urge incontinence instead of overflow ? Didn’t really understand the explanation for the 2Q as to why it’s umn and urge incontinence
LMNL leads to overflow incontinence as the detrusor muscle is paralyzed UMNL leads to urge incontinence as the inhibitory effect is released so the detrusor becomes hyperactive See my reply to another comment
In diabetic neuropathy the detrusor is underactive. In multiple sclerosis it is overactive. With Multiple sclerosis it’s an upper motor neuron lesion, while the efferent nerve is perfect. So release of inhibition leads to hyperactivity. On the other hand, diabetic neuropathy affects the lower motor neuron; the efferent nerve directly supplying the muscle, leading to underactivity resulting in overflow incontinence. Hope that makes sense to you
Mashaallah, I just found your channel
I appreciate your hard work and effort, may Almighty bless you
Very knowledgeable video
Barakallahu fyki
Barak Allahu Feek!
Very nice thank you I’m so happy to find this channel 😍
Glad to help! :)
I marked correctly all the three question before your explanations ,jazakallah
Bravo! JazakAllahKhair Adnan, keep it up
thank you so muchhhh Noor, I love your solving clue, they are really useful. You're awesome! :)
Thank you so much!💙💙
Noor thanks again with your awesome videos!
Anytime!
Tyyyy Noor!! Please do more hard HY videos!!
Sure!! Glad it helped 😊
Please continue madam ❤
u deserve 1m views!!
thank you so much!
Thank you for your efforts
Anytime Abeer!
Superb! I really was struggling with this topic.. Can you make a video on biostats and survival probabilty type questions?
I’m so happy it helped!! Check my biostats playlist here ruclips.net/p/PL66OPMZWrJqE1IOgzIAVwquAYLYNRQ-IT
@@acingmedicine thanks!! I just saw the one on ARR , but i still have trouble in understanding the probabilty ones like for eg.. those questions that ask - after 2 years what would be the survival if the pt has survived the first year
So First Aid shows neurogenic bladder only as a cause over overflow incontinence, and only UTI as a cause of urgency incontinene. So neurogenic bladder should be a cause of both urgenty & overflow?
Neurogenic bladder implies nerve injury to the bladder innervation. Depending on what level it occured will decide whether it leads to detrusor muscle overactivity or underactivity. An upper motor neuron lesion leads to detrusor overactivity (spastic paralysis) and urge incontinence. A lower motor neuron lesion leads to detrusor underactivity (flaccid paralysis) and overflow incontinence. I hope this makes sense :)
The 2 Q would be labelled as overflow incontinence if the injury would be in the sacral region ? If it’s above it , that means UMN which would be urge incontinence instead of overflow ? Didn’t really understand the explanation for the 2Q as to why it’s umn and urge incontinence
LMNL leads to overflow incontinence as the detrusor muscle is paralyzed
UMNL leads to urge incontinence as the inhibitory effect is released so the detrusor becomes hyperactive
See my reply to another comment
Thank you so much
You’re welcome!
what is the difference between diabetic autonomic neuropathy vs multiple sclerosis? in terms of the incontinence? why aren't they both urge?
In diabetic neuropathy the detrusor is underactive. In multiple sclerosis it is overactive.
With Multiple sclerosis it’s an upper motor neuron lesion, while the efferent nerve is perfect. So release of inhibition leads to hyperactivity.
On the other hand, diabetic neuropathy affects the lower motor neuron; the efferent nerve directly supplying the muscle, leading to underactivity resulting in overflow incontinence. Hope that makes sense to you
@@acingmedicine amazing thank you noor! you're awesome.
love it
I’m glad to hear this!
💯🌟
💙💙
Noor❤
❤️❤️