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STEM 2: A 55 year old woman has frequency of micturition with severe urgency...

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STEM 2:

A 55 year old woman has frequency of micturition with severe urgency and nocturia over the last 12 months.  Occasionally she leaks a few drops of urine as she is getting her underwear down in the toilet.  Her bladder chart shows that she drinks 1.2 L per day and voids volumes of 50-120 ml every 1-2 hours.  Pelvic ultrasound reveals 1.5 cm fibroid on posterior uterine wall.  Urinalysis shows a raised specific gravity but is otherwise normal.

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