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Case #4. A 75-year-old woman comes to see her PCP for routine health care and notes that she has had increasing urinary frequency with occasional

Case #4. A 75-year-old woman comes to see her PCP for routine health care and notes that she has had increasing urinary frequency with occasional small amounts of urinary incontinence. She uses a walker, has difficulty ambulating, and often puts off going to the bathroom. At times, she does not make it to the bathroom. On exam, she has no evidence of pelvic prolapse, but her vaginal mucosa is very hypo-estrogenized.

1. What type of urinary incontinence does she have?

2. What combination of factors contribute to her incontinence, and how does the provider you address them?


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