Nocturnal enuresis — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar in a general clinic. A 7-year-old boy is referred because he wets the bed on five or six nights a week. He is dry by day, growing normally and otherwise well, and his father wet the bed until age 11. A voiding diary shows a large overnight urine volume with normal daytime voids, and urinalysis is normal. The family is motivated and able to wake with the child, but they would also like the option of quick control for an upcoming school camp. The team asks you to establish the definition and classification, outline the assessment and investigations, choose and justify the first-line therapy, and counsel on the desmopressin safety measures. You have 12 minutes with the team and 5 minutes for examiner discussion. ^[1]