UTI HPI

[text size="3"] yo [select value="female|male"] complains of [checkbox value="dysuria|frequency|urgency|incontinence|hematuria|cloudy urine|fever|chills|vaginal discharge|flank pain"] starting [text size="3"] day(s) ago, denies [checkbox value="dysuria|frequency|urgency|incontinence|hematuria|cloudy urine|fever|chills|vaginal discharge|flank pain"]

Patient [select value="has not|has"] had a UTI in the past.

Risk factors present: [checkbox value="pyelonephritis within the last 3 months|diabetes|pregnancy|immunosuppression|kidney stones|kidney failure|catheterization within the last 2 weeks|hospitalzation or nursing home residency within the last 2 weeks|4 or more UTIs within the last 12 months|antibiotic for UTI in the last 4 weeks"]
[checkbox value="UA|PVR|KUB|RUS|CT of ABD/Pelvis with/without contrast|CT of ABD/Pelvis without contrast"] obtained and reviewed.