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Why Have a List of Differential Diagnosis?

It is important for clinicians to frequently refer to a list of differential diagnosis so they could ask good questions from the patient or parent. A list of different causes of diseases will also help reduce errors in diagnosis.

Causes of Bed Wetting

Developmental Delay

Psychogenic Causes
Toilet training Issues
Emotional stress
Psychological Disturbances

Physical Causes
Infections
Urinary tract infection
Osteomylitis of Vertebral Body
Spinal Epidural abscess

Obstructive Lesions
Chronic Constipation
Urethral Valves
Ectopic Ureters
Diverticulum of Anterior Urethra
Urethral Stricture
Meatal Stenosis
Contraction of Bladder Neck
Bladder Diverticuli
Prostatic Abscess or Tumor
Hydrocolpos or Hematocolpos
Labial Atresia
Marked Phimosis

Neurogenic Causes
Myelomeningocele
Sacral Agenesis
Occult Neuropathic Bladder
Seizures
Spinal Cord Injuries
Spinal Cord Tumors
Diastematomyelia
Spinal Dysraphism

Other Causes
Allergies
Obesity
Mental Retardation
Obstructive Sleep Apnea
Giggle Micturition

Adapted from Signs & Symptoms
In Pediatrics, 2nd Edition, Page432
Tunnessen, Jr, MD



 

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