28th July 2023

A 76 year old woman has been admitted to the geriatric unit with community acquired pneumonia.

A 76 year old woman has been admitted to the geriatric unit with community acquired pneumonia. She normally lives in a care home. On day 2 of admission, she becomes more confused and is seen talking to herself. The nurses tell you that she has new onset urinary incontinence. She last opened her bowels 4 days ago, and her mid-stream urine culture is negative. On review of her drug chart, you note she is on IV co-amoxiclav, IV fluids, paracetamol, codeine, ibuprofen, metformin, ramipril and clopidogrel.

What is the most likely cause of her new urinary incontinence?

Select the SINGLE most appropriate option from the list below. Select ONE option only.