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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 55-year-old woman seeks evaluation of difficult and incomplete voiding and spontaneous urine leakage that occurs continuously during the day and night. The symptoms are not associated with physical exertion. She denies any urethral or vaginal discharge. She is menopausal and does not take hormone replacement therapy. At 33 years of age, she had a right salpingectomy as treatment for an ectopic pregnancy. She has a 2-year history of a major depressive disorder and takes amitriptyline (100 mg before the bedtime). She was also diagnosed 5 years ago with arterial hypertension, which is controlled with enalapril (20 mg daily) and metoprolol (50 mg daily). The weight is 71 kg (156.5 lb) and the height is 155 cm (5 ft). The vital signs are as follows: blood pressure 135/80 mm Hg, heart rate 67/min, respiratory rate 13/min, and temperature 36.4℃ (97.5℉). The physical examination is significant for a palpable urinary bladder. The neurologic examination is within normal limits. The gynecologic examination shows grade 1 uterine prolapse. Which of the following is the most probable cause of the patient’s symptoms?
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Blockage of M-cholinoreceptors