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Old 09-06-2012
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Arrow Gyrus Daily Questions; Pediatrics #11

Which of the following in an 8-year-old child is most likely to indicate an underlying psychologic or behavioral problem?


(A) enuresis
(B) encopresis
(C) motion illness
(D) migraine headache
(E) recurrent pharyngitis
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Old 09-06-2012
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A) Enuresis

Children with psychosocial or emotional stressors tend to have a regression as a defense mechanism
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I say it's B... Enuresis could still be a common finding at 10 yo.
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Old 09-06-2012
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(B) encopresis

Quote:
Associations
Primary encopresis-especially in boys, associated with global developmental delays and enuresis
Secondary encopresis-high levels of psychosocial stressors and conduct disorder
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Old 09-06-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
Which of the following in an 8-year-old child is most likely to indicate an underlying psychologic or behavioral problem?


(A) enuresis
(B) encopresis
(C) motion illness
(D) migraine headache
(E) recurrent pharyngitis
B.) encoporesis???
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Old 09-06-2012
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Answer is (B)encopresis

Although some cases of encopresis may be secondary to organic causes (spina bifida, Hirschsprung disease), the majority are psychologic or behavioral in nature. In contrast, the majority of cases of enuresis are most often due
to a disturbance of bladder physiology or sleep mechanism, and generally are not considered to represent an emotional or behavioral disorder.
If a child has been dry, then becomesenuretic (secondary enuresis), emotional factors may be involved in the process. Secondaryenuresis may indicate sexual abuse.
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