urourinfuncfu.ascx

医疗决策支持系统

        Attending</span> <table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
          <tr > 
            <td align="center" class="FormInsideTableTopCell"><strong>System</strong></td>
            <td colspan="2" align="center" class="FormInsideTableTopCell"><strong>Normal 
              Symptom</strong><strong>s</strong></td>
            <td width="40" align="center" class="FormInsideTableTopCell"><strong>Abnormal</strong></td>
            <td width="40" align="center" class="FormInsideTableTopCell"><strong>Attnd<br>
              Performed</strong></td>
            <td width="240" align="center" class="FormInsideTableTopCell"><strong>Notes</strong></td>
          </tr>
          <tr > 
            <td rowspan="3" align="left" valign="top" class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="4" height="0">General</td>
            <td width="200" height="18" align="left" class="FormInnerRowBottomBorder">Well 
              Developed / Well Nourished</td>
            <td width="40" align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td width="240" rowspan="3" class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Acute 
              Distress</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">Alert 
              &amp; Oriented</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td rowspan="5" align="left" valign="top" class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="4" height="0">Abdomen</td>
            <td height="18" align="left" class="FormInnerRowBottomBorder">Soft 
              Non-tender</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td rowspan="5" class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder"> Normal 
              Bowel Sounds</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder"> No 
              Hepatosplenomegaly</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Ascites</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Hernia 
            </td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td rowspan="4" align="left" valign="top" class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="4" height="0">GU<br> 
              <img src="../../Images/shim.gif" border="0" width="4" height="0">Male</td>
            <td height="18" align="left" class="FormInnerRowBottomBorder">Testes 
              w/o Tenderness or Masses</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td rowspan="4" align="left" valign="top" class="FormInnerRowBottomBorder"> 
              &nbsp;Circumcised: <img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"> 
              Yes &nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"> 
              No<br> <br> <br>
              Prostate Weight: ___________ g</td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Palpable 
              Penile Plaque or Fibrosis</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">Normal 
              Scrotum / Testis</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">Normal 
              Rectal Exam</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td rowspan="4" align="left" valign="top" class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="4" height="0">GU<br> 
              <img src="../../Images/shim.gif" border="0" width="4" height="0">Female</td>
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Vulvar 
              Cyst / Masses </td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td rowspan="4" valign="top" class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Vaginal 
              Atrophy</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Prolapse</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="18" align="left" class="FormInnerRowBottomBorder">No Leak 
              with Cough</td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
            <td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
          </tr>
          <tr > 
            <td height="16" align="left" valign="top"><img src="../../Images/shim.gif" border="0" width="4" height="0">Other<br></td>
            <td colspan="5" align="left">&nbsp;</td>
          </tr>
        </table></td>
    </tr>
    <tr > 
      <td class="FormOuterTableRow"><table align="center" border="0" width="650" cellpadding="4" cellspacing="0">
          <tr> 
            <td colspan="2" class="blackBoldText">Impression &amp; Plan </td>
          </tr>
          <tr> 
            <td width="309" align="center" class="FormInsideTableTopCell"><strong>Diagnoses 
              / Problem List</strong></td>
            <td width="309" align="center" class="FormInsideTableTopCell"><strong>Plan 
              &amp; Referrals</strong></td>
          </tr>
          <tr> 
            <td height="40" valign="top" class="FormInsideTableRegCell">1.</td>
            <td class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr> 
            <td height="40" valign="top" class="FormInsideTableRegCell">2.</td>
            <td class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr> 
            <td height="40" valign="top" class="FormInsideTableRegCell">3.</td>
            <td class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr> 
            <td height="40" valign="top" class="FormInsideTableRegCell">4.</td>
            <td class="FormInnerRowBottomBorder">&nbsp;</td>
          </tr>
          <tr> 
            <td height="40" valign="top" class="FormInnerRowRightBorder">5.</td>
            <td>&nbsp;</td>
          </tr>
          <!--<tr  >
						<td valign="top" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">4.</td>
						<td align="center" valign="middle"><img src="../../Images/icon_checkBoxBlank.gif" width="24" height="18" alt="" border="0"></td>
						<td>&nbsp;</td>
					</tr>
					<tr  >
						<td valign="top" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">5.</td>
						<td align="center" valign="middle"><img src="../../Images/icon_checkBoxBlank.gif" width="24" height="18" alt="" border="0"></td>
						<td>&nbsp;</td>
					</tr>
					<tr  >
						<td valign="top" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">6.</td>
						<td align="center" valign="middle"><img src="../../Images/icon_checkBoxBlank.gif" width="24" height="18" alt="" border="0"></td>
						<td>&nbsp;</td>
					</tr>
 					<tr  >
						<td valign="top" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">7.</td>
						<td align="center" valign="middle"><img src="../../Images/icon_checkBoxBlank.gif" width="24" height="18" alt="" border="0"></td>
						<td>&nbsp;</td>
					</tr>
					<tr  >
						<td valign="top" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">8.</td>
						<td align="center" valign="middle"><img src="../../Images/icon_checkBoxBlank.gif" width="24" height="18" alt="" border="0"></td>
						<td>&nbsp;</td>
					</tr>
					<tr  >
						<td valign="top" height