AFP: American Family Physician Podcast Episode 232 -- June 2025 -- Part 2 AFP: American Family Physician
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Jun 30, 2025 Delve into the intriguing world of nocturia and its management strategies. Explore the innovative HARMS 2 AF risk score for assessing atrial fibrillation risks. Discover how zolendronate effectively reduces fracture risk over a decade. Gain insights into endometrial cancer detection and treatment, emphasizing disparities in survival rates. Plus, learn about the convenience of at-home testing for gonorrhea and chlamydia, now with FDA approval. A blend of medical advancement and personal reflections makes for a compelling listen!
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Evaluating Nocturia Mechanisms
- Evaluate nocturia by considering four mechanisms: increased nighttime urine production, decreased bladder storage, incomplete emptying, or primary sleep disorder.
- Use a detailed history, physical exam, urinalysis, and bladder diaries to guide diagnosis and management.
Patient Habit Worsening Nocturia
- Many patients respond to nocturia by drinking a full cup of water before returning to bed.
- This common habit can worsen symptoms and should be discouraged.
Conservative Nocturia Management
- Manage nocturia conservatively by advising patients on diuretic timing, avoiding excessive fluid intake before bed, and addressing comorbidities.
- Consider pelvic floor physical therapy and leg elevation for edema as additional conservative measures.
