Tag

4Is framework

Articles in the Bladder Diaries journal tagged 4Is framework, newest first.

Pocket watch gears: the bladder's contractile mechanism is the difference between BPH and underactive bladder
Bladder diary

Underactive Bladder: A Diary-First Workup Before Urodynamics

Underactive bladder hides under BPH. The diary plus PVR is what tells you which bucket the patient sits in before urodynamics confirms it. Workup guide.

Dr. Di Wu, MD, PT · 20 min read
A compass orients unfamiliar terrain the way the diary orients the differential diagnosis of polyuria
Bladder diary

Differential Diagnosis of Polyuria: Diary-First Workup

Differential diagnosis of polyuria, anchored to the IPC 4Is framework: how a 3-day bladder diary triages four patterns before the endocrine workup runs.

Dr. Di Wu, MD, PT · 18 min read
Hourglass on a wooden desk: NPi captures what fraction of a day's urine arrived overnight, the same fraction shown
Bladder diary

Nocturnal Polyuria Index (NPi): Calculation and Workup

Calculating the nocturnal polyuria index from a bladder diary: age-stratified thresholds, the 4Is gateway, and the PT-led workup before any drug.

Dr. Di Wu, MD, PT · 15 min read
A page of handwritten numbers: the disciplined three-day record a frequency volume chart asks the patient to keep
Bladder diary

Frequency Volume Chart: The ICS-Formal Bladder Diary

A frequency volume chart is the ICS-formal name for the volumetric core of a bladder diary. The chart that produces 24hVV, MVV, AVV, and NPi at the desk.

Dr. Di Wu, MD, PT · 16 min read
Clear graduated measuring glass: turning volume into a calibrated number, the same job a 3-day bladder diary performs
Bladder diary

Normal Capacity of the Bladder: Functional vs Anatomical

The 300-500 mL textbook range is anatomical capacity. The number that drives clinical decisions is functional capacity, read off a 3-day bladder diary.

Dr. Di Wu, MD, PT · 15 min read
A library card catalog: the validated continence assessment tool a clinician keeps as a reference
Bladder diary

The Continence Assessment Tool a Clinician Actually Needs

The continence assessment tool a clinician actually needs: five validated instruments, the 3-day bladder diary, and the 4Is functional diagnosis framework.

Dr. Di Wu, MD, PT · 21 min read
Pen, notebook, and smartphone: the bladder diary app evaluation kit a clinician keeps within reach
Bladder diary

Bladder Diary App: A Clinician's Eight-Point Checklist

A clinician's eight-point checklist for evaluating a bladder diary app: ICS-grounded requirements and what gets quietly broken when an app misses one.

Dr. Di Wu, MD, PT · 17 min read
Pen resting on a printed page beside a laptop: the bladder diary PDF and the digital workflow it lives alongside
Bladder diary

Bladder Diary PDF: A Practical Guide for Clinicians

Free 3-day bladder diary PDF download, plus the clinician's read on format choice, compliance evidence, and what digital tools show paper cannot.

Dr. Di Wu, MD, PT · 16 min read
An open spiral notebook: the recording artifact at the heart of bladder diary interpretation
Bladder diary

Bladder Diary Interpretation: The IPC 4Is Workflow

A 5-step bladder diary interpretation procedure for clinicians: completeness check, four core metrics, IPC 4Is mapping, symptom cross-check, decide.

Dr. Di Wu, MD, PT · 20 min read
A glass half full of water: a bladder diary records what goes in and what comes out
Bladder diary

What is a bladder diary?

A bladder diary turns three days of voids, fluids, and leaks into the four numbers that drive a real LUTS diagnosis. The cheapest test in pelvic care.

Dr. Di Wu, MD, PT · 13 min read