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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
The parents of an 8-year-old boy bring him to the pediatrician's office for evaluation of nightly bed-wetting. On half the nights, his urine soaks through a pair of absorbent disposable underpants into the sheets. He often does not void during school hours, and when he returns home after school, he usually rushes to the bathroom. He arrives home thirsty after school, and
The Clinical Problem
Strategies and Evidence
Evaluation
Laboratory Testing and Imaging Studies
Management
Behavioral Therapy
Alarm Therapy
Pharmacologic Therapy
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Childrens' Clinic, Calgary, AB, Canada.
An audio version of this article is available at NEJM.org.
Address reprint requests to Dr. Robson at the Children's Clinic, Suite 111, 4411 16th Ave. NW, Calgary, AB T3B 0M3, Canada, or at wlmrobson@gmail.com.
This article has been cited by other articles:
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