Vaginitis Plan

[select value="Vaginitis|Bacterial vaginosis|Candida vaginitis|Gardnerella vaginitis|Trichomonas vaginitis|Herpes vaginitis|Cervicitis|PID"]
Additional testing
[checkbox value="pelvic ultrasound|CBC|pregnancy test|sed rate|none"]
Treatment:
[checkbox value="observe|over the counter antifungal preparation|diflucan orally|metronidazole orally|metronidazole vaginally|clindamycin vaginally|azithromycin orally|doxycycline orally|other treatment"]
[text size=80]
Education:
[checkbox value="Follow up as needed|Follow up if worsening|Follow up in 1-2 weeks|Follow up for test of cure|Side effects/interactions of medications|Cautioned patient to consume no alcohol during course of treatment and including 72 hours after completion of treatment"]

Additional testing

Treatment:


Education:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.8, 5 form elements, 4 boilerplate words, 1 text boxes, 3 checkboxes, 1 drop downs, 22 total clicks
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