Flu A/P

[select value="Influenza|Influenza-like illness|Viral illness"]
[textarea default="Plan:
Tessalon Perles 100 mg 1 tid prn cough
Robitussin AC 1-2 teaspoons every 4-6 hours prn cough
Anti-Viral Indications
[checklist name="Q1" value="Ill >48 hours and hospitalized or seriously ill|Ill <48 hours and child under age 2 years old (some guidelines use under age 5 years)|Ill <48 hours and elderly (over 65 years old)|Ill <48 hours and chronic medical conditions present(e.g. COPD, Asthma)|Ill <48 hours and immunosuppressed|Ill <48 hours and obese with BMI>40|Ill <48 hours and pregnant (despite Pregnancy category C due to higher risk of Influenza related morbidity"]
[checkbox memo="Choose Antiviral if Indicated" value="Zanamivir (Relenza)|Oseltamivir (Tamiflu)"]
[textarea default="Discussed increased fluids, antipyretics, and rest. Typical natural history of disease discussed. Follow up if symptoms persist or worsen outside of discussed boundaries."]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
[link url="//www.fpnotebook.com/id/virus/Inflnz.htm" memo="#1"] see FP Notebook

Anti-Viral Indications

Choose Antiviral if Indicated

display/hide references

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Sandbox Metrics: Structured Data Index 0.67, 8 form elements, 3 boilerplate words, 2 text areas, 2 checkboxes, 1 check lists, 1 drop downs, 1 links, 1 conditionals, 13 total clicks
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