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* qqqq4
 #848153  
  yousmle99 - 02/13/18 15:23
 
  The parents of a 3-year-old boy tell the pediatrician that although the child is toilet-trained during
daytime hours, he wets his bed almost every night. What should the pediatrician do?

(A) Prescribe an antihistamine
(B) Prescribe amitriptyline
(C) Prescribe a mild benzodiazepine
(D) Advise the parents to restrict fluids after dinner each evening
(E) Speak to the child
 
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* Re:qqqq4
#3360710
  crossover - 02/13/18 17:03
 
  the child is 3 years.. Imipramine/amitriptyline can be given but not first line considering the child age and TCA side effect.
I will try D first
 
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* Re:qqqq4
#3360761
  yousmle99 - 02/14/18 06:36
 
  Again right crossover

we can not diagnose enuresis in child less than 5 year , therefore prescribing drug will be not advisable. So, we restrict water or liquid intake during evening and night to prevent bed wetting.
 
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* Re:qqqq4
#3360828
  crossover - 02/14/18 17:02
 
  thanks  
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