A pediatric patient with enuresis should have a basic clinical evaluation. Positive findings can help guide any further workup.
height and weight vs growth curve
failure to thrive, growth retardation
signs of spinal dysraphism (dimple, hypertrichosis, lipoma, sacral agenesis)
hypospadias, phimosis. labial agglutination
anorectal evaluation (with or without left lower quadrant palpation)
exam of underwear for soiling, fecal incontinence, constipation
lower spinal cord dysfunction, CNS disorder
urine nitrites and white blood cells
urinary tract infection
urine hemoglobin and red blood cells
urine specific gravity
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Specialty: Pedatrics, Urology