Gynecology
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Diagnosis of Incontinence - Patients who report leaking urine in any amount over the past 3 months.
1. During the past 3 months, did you leak urine? (check all that apply)
[checklist value="When you were performing some physical activity, such as coughing, sneezing, lifting, or exercising.|When you had the urge or the feeling that you needed to empty your bladder, but you could not get to the toilet fast enough.|Without physical activity and without a sense of urgency."]
2. During the past 3 months, did you leak urine MOST often:
[radio name="leak" value="When you were performing some physical activity, such as coughing, sneezing, lifting, or exercising=1|When you had the urge or the feeling that you needed to empty your bladder, but you could not get to the toilet fast enough=2|Without physical activity and without a sense of urgency=3|About equally as often with physical activity as with a sense of urgency=4"]
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Interpretation: [calc value="score=(leak);score>3?'Mixed':score>2?'Other cause only or other cause predominant':score>1?'Urge only or urge predominant':'Stress only or stress predominant'" memo="score interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:
[link url="//www.aafp.org/afp/2013/0415/p543.html" memo="#1"] Khandelwhal (2013) Am Fam Physician 87:543
[link url="//www.ncbi.nlm.nih.gov/pubmed/16702587" memo="#2"] Brown (2006) Ann Intern Med 144:716[/conditional]
Diagnosis of Incontinence - Patients who report leaking urine in any amount over the past 3 months.
1. During the past 3 months, did you leak urine? (check all that apply)

2. During the past 3 months, did you leak urine MOST often:

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Interpretation: score interpretationscore=(leak);score>3?'Mixed':score>2?'Other cause only or other cause predominant':score>1?'Urge only or urge predominant':'Stress only or stress predominant'
display/hide references

Result - Copy and paste this output: