Behavioral Health

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 7 year old boy has never achieved bladder control during the night, despite being toilet trained at the age of 3 years; he still wets his bed 2 to 3 times per week.\n\nThere are no features in the history suggestive of a urinary tract infection (UTI); nor is he on any medications which might potentially cause polyuria, and thus bedwetting at night.\n\nHis examination shows him to be healthy and thriving, with no spinal defects or neurological deficits (which would raise suspicion of a neurogenic bladder).\n\nNote that the above features meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for nocturnal enuresis (NE); furthermore, given that he has never achieved constant night-time dryness, this woul"}]}

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