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Dickinson college student health services

Dickinson
College
Student
Health
Services
UTI/GU

Name
____________________________________________Class_________Date ____/____/____
S: cc:_____________________________________________________________________________________
Symptoms yes no duration / location / character
Additional Hx. _________________________________________________________________________________________ ______________________________________________________________________________________________________ PMH
Current meds? _____________________________________________________________________________________ Med. allergies?_______________________________________________________________________________________ O: temp___
Dickinson College Student Health Services
UTI/GU (pg 2)
Name ________________________________________________________________________________ Class__________
LABS:
Dipstix
Micro
KOH/WP
ˆ Pyelonephritis ˆ Other ____________________________________________ ˆ Bactrim DS 1 po BID X 3 days / 10 days ˆ Amoxicillin 250 mg 1 po TID X 10 days ˆ Cephalexin (Keflex) 250mg QID / 500 mg BID X 10 days ˆ Referral ______________________________________________________________________________
ˆ LABS REFERRED: ˆ None ˆ UA Culture ˆ Pap ˆ Chlamydia ˆ Herpes ˆ GC
ˆPatient Discharge Instructions Given Health Education
ˆ Warned of possible effects of antibiotics on oral contraceptives
ˆ Instructions: inc.fluids, void p intercourse, hygiene, UTI handout
ˆ RTC __________________________ ˆ RTC PRN
_____________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ \FORM\uti.cck

Source: https://webmail.dickinson.edu/departments/health/Clinical-Checksheets/UTI-CCK.pdf

File://z:\jornal_oficial\jornal_oficial_para_pdf\jornal_0041.ph

000041 LONDRINA Quinta-feira, 11 de setembro de JORNAL DO EXECUTIVO ATOS LEGISLATIVOS EXTRATOS Processo Administrativo nº PA-DL 97/058. Partes: Município de Londrina e Gerônimo Arlindo Fuganti.Ref.: Dispensa de Licitação - Art. 24 - inciso X, Lei Federal 8.666/93.Objeto: Locação de um imóvel de alvenaria situados na Rua Caraíbas, com área edificada de 867,20m2. Valor

Submitted by:

Submitted by: Charles Bantz, Provost and Senior Vice President Academic Affairs JOSEPH F. YOUNG, SR. PSYCHIATRIC RESEARCH AND TRAINING PROGRAM PROPOSED BUDGET FISCAL YEAR 2003 It is recommended that the Board of Governors approve the proposed FY 2003 budget for theJoseph F. Young, Sr. Psychiatric Research and Training Program to be allocated to program Approved Proposed Progr

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