UTI/Vaginal symptoms

[date name="variable_1" default="05/09/2020"]


HPI:

Urinary Sx:
[checkbox name="urinary_cc" value="does not report|burning|frequency|pain with urination|blood in urine|back pain"][textarea cols=70 rows=1]

Vaginal Sx:
[checkbox name="vaginal_cc" value="does not report|clear discharge|yellow discharge|brown discharge|itching|skin lesions|painful intercourse"][textarea cols=70 rows=1]

Duration:
[checkbox name="duration" value="N/A|hours|days|weeks"][textarea cols=70 rows=1]

Symptoms:
[checkbox name="sx" value="N/A|increasing in severity|remaining constant|decreasing in severity|constant|come and go"][textarea cols=70 rows=1]

PMH:
[textarea cols=70 rows=1]


PHYSICAL EXAM:
GENERAL: [checkbox name="variable_1" value="well-developed and well-nourished|alert and cooperative|in no acute distress|well-appearing and nontoxic"], [text name="variable_2" default=""]

RESPIRATORY: [checkbox name="variable_7" value="no audible rales/rhonchi/wheezing|normal respiratory effort|speaking full sentences|no visible signs of tachypnea|no retractions"], [text name="variable_8" default=""]

CARDIOVASCULAR: [checkbox name="variable_9" value="peripheral pulses intact and no chest pain"], [text name="variable_10" default=""]
ABDOMINAL: [checkbox name="variable_11" value="no focal abdominal tenderness elicited upon palpation|no visible abdominal distension|no abnormal masses found upon palpation"], [text name="variable_12" default=""]

BACK: [checkbox name="variable_13" value="no CVAT elicited bilaterally"], [text name="variable_14" default=""]

PSYCH: [checkbox name="variable_19" value="normal-appearing affect"], [text name="variable_20" default=""]
A/P:
[select name="variable_1" value="yeast infection|Acute Uncomplicated Cystitis|Acute Complicated Cystitis in Female|Acute Complicated Cystitis in Male|Bacterial Vaginosis"]


PLAN OF CARE:
[checkbox name="discussed" value="POA risks/benefits/side effects/alternatives discussed with patient/parent/SO, opportunity provided to ask questions|verbalized understanding of and agreement with POC, discharge & f/u instructions"][textarea cols=70 rows=1]


RX:

[checkbox name="order_RX" value="none|Pyridium 100 mg TID #6|Fluconazole 150 mg by mouth once|Macrobid 100 mg po bid x 5 days|Bactrim DS 160/800 po bid x 3 days|Ciprofloxacin 250 mg po bid x 3 days|Ciprofloxacin 500 mg po bid x 7 days|Augmentin 500 mg po bid x 5 days|Metronidazole 500 mg twice daily orally for seven days|Metronidazole gel 0.75 percent (5 grams containing 37.5 mg metronidazole) once daily vaginally for five days|Clindamycin 2% vaginal cream once daily at bedtime for seven days|Clindamycin 300 mg twice per day orally for seven days|Clindamycin 100 mg vaginal suppositories at bedtime for three days"][textarea cols=70 rows=1]