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Current File : /home/btiyawmy/public_html/login.easenup.in/Systemic_Examination.php
<?php session_start();
include 'dbconnection.php';
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST['Systemic_Examination'])) 
{
   PatientManager::SystemicExamination("$_GET[prescriptionid]","$_GET[patientid]","$_GET[surgeryid]","$_POST[Systemic_Disease]","$_POST[Systemic_Disease_note]","$_POST[Anesthesia_Events]","$_POST[Anesthesia_Events_note]","$_POST[ho_Operations]","$_POST[ho_Operations_note]","$_POST[Adverse_Drugs_Reaction]","$_POST[Adverse_Drugs_Reaction_note]","$_POST[DRUG_THERAPY]","$_POST[DRUG_THERAPY_note]","$_POST[HISTORY_CHEST_PAIN]","$_POST[HISTORY_PALPITATION]","$_POST[HISTORY_HYPERTENTION]","$_POST[S1_S2]","$_POST[MURMUR]","$_POST[ECG_REPORT]","$_POST[ENTER_LUNGS]","$_POST[CREPITATIONS_WHEEZ]","$_POST[HISTORY_COUGH]","$_POST[HISTORY_BRONCHIAL]","$_POST[HISTORY_REPAIRATORY]","$_POST[PULMONARY_TEST]","$_POST[CARDIAO_VASCULAR_note]","$_POST[HISTORY_CONVULSION]","$_POST[HISTORY_TREMOR]","$_POST[HISTORY_GI_BLEEDING]","$_POST[NEUROLOGICAL_DISEASE]","$_POST[CENTRAL_NERVOUS_note]","$_POST[HEART_BURN]","$_POST[OTHER_DISEASE]","$_POST[LIVER_FUNCTION_TEST]","$_POST[GASTRO_INTESTINAL_note]","$_POST[HISTORY_DM]","$_POST[HISTORY_HYPER]","$_POST[HARMONAL_ABNORMALITY]","$_POST[ENDOCRINE_SYSTEM_note]","$_POST[HISTORY_HAEMATURIA]","$_POST[HISTORY_UTI]","$_POST[HISTORY_STD]","$_POST[RENAL_PROBLEM]","$_POST[GENITO_URINARY_note]","$_POST[respiratory_system_note]","$_POST[entered_by]");
}
?>
<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<form name="Systemic_Examination" method="post" id="myForm" >
   

<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
        
        <th></th>
            <th>Action</th>
        <th>Note</th>
        <tr>
            <td width='20%'>HISTORY OF  Any Systemic Disease</td>
             <td width='20%'><select name='Systemic_Disease'>
        <option value='Unknown'>Unknown</option>
       <option value='Yes'>Yes</option>
    <option value='No'>No</option>
           </select></td>
             <td width='60%'><input name="Systemic_Disease_note" type="text"></td>
        </tr>
         <tr>
            <td width='20%'>HISTORY OF  Anesthesia Events</td>
             <td width='20%'><select name='Anesthesia_Events'>
        <option value='Unknown'>Unknown</option>
       <option value='Yes'>Yes</option>
    <option value='No'>No</option>
           </select></td>
             <td width='60%'><input name="Anesthesia_Events_note" type="text"></td>
        </tr>
   <tr>
            <td width='20%'>HISTORY OF Surgery 
</td>
             <td width='20%'><select name='ho_Operations'>
        <option value='Unknown'>Unknown</option>
       <option value='Yes'>Yes</option>
    <option value='No'>No</option>
           </select></td>
             <td width='60%'><input name="ho_Operations_note" type="text"></td>
        </tr>  
  <tr>
      <tr>
            <td width='20%'>HISTORY OF  Adverse Drugs Reaction
</td>
             <td width='20%'><select name='Adverse_Drugs_Reaction'>
        <option value='Unknown'>Unknown</option>
       <option value='Yes'>Yes</option>
    <option value='No'>No</option>
           </select></td>
             <td width='60%'><input name="Adverse_Drugs_Reaction_note" type="text"></td>
        </tr>  
  <tr>
            <td width='20%'>HISTORY OF Drug Therapy

</td>
             <td width='20%'><select name='DRUG_THERAPY'>
        <option value='Unknown'>Unknown</option>
       <option value='Yes'>Yes</option>
    <option value='No'>No</option>
           </select></td>
             <td width='60%'><input name="DRUG_THERAPY_note"type="text"></td>
        </tr>  

        </table>
        
        
        <table id="example2" class="table table-hover" > 
  <div class="center"  style='background:#1e73be;color:#ffffff;'>
      <h5 align="center">SYSTEMIC EXAMINATION </h5>
   
        </table>
        
        <table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">CARDIAO VASCULAR SYSTEM           </span> </td></tr></p>
      </table>
      
        <table id="example2" class="table table-bordered table-hover"> 
      <tr><td><span style="font-size: 20px">HISTORY OF CHEST PAIN 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_CHEST_PAIN'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
    <td><span style="font-size: 20px">HISTORY OF PALPITATION </span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_PALPITATION'>
  <span class="slider"></span>
</label>
</td>
</tr>  

<tr><td><span style="font-size: 20px">HISTORY OF HYPERTENTION 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_HYPERTENTION'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">S1 & S2 </span></h3></td><td>
  <select name="S1_S2">
         <option value="Not Applicable" >Not Applicable  </option>
  <option value="NORMAL">NORMAL</option>
  <option value="ABNORMAL">ABNORMAL </option>
</select>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">MURMUR </span></h3></td><td>
  <select name="MURMUR">
         <option value="Not Applicable" >Not Applicable</option>
  <option value="PRESENT">PRESENT</option>
  <option value="ABSENT">ABSENT</option>
</select>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">ECG REPORT</span></h3></td><td>
  <select name="ECG_REPORT">
         <option value="Not Applicable" >Not Applicable </option>
  <option value="PRESENT"> PRESENT </option>
  <option value="ABSENT">ABSENT   </option>
</select>
</td>

</tr>
<tr>
    
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review" name='CARDIAO_VASCULAR_note' rows="2" cols="70"></textarea></td>
</tr>
</table>
     <table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">RESPIRATORY SYSTEM          </span> </td></tr></p>
      </table>
      <table id="example2" class="table table-bordered table-hover"> 
<tr>
<td><span style="font-size: 20px">B/L  AIR ENTER IN LUNGS </span></h3></td><td><label class="switch">
  <input type="checkbox" name='ENTER_LUNGS'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">CREPITATIONS / WHEEZ 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='CREPITATIONS_WHEEZ'>
  <span class="slider"></span>
</label>
</td>
</tr> 
<tr>
<td><span style="font-size: 20px">HISTORY OF COUGH / BRONCHISOSM  </span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_COUGH'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF BRONCHIAL ASTHMA 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_BRONCHIAL'>
  <span class="slider"></span>
</label>
</td>
</tr> 
<tr>
<td><span style="font-size: 20px">HISTORY OF REPAIRATORY DISEASES </span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_REPAIRATORY'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">PULMONARY FUNCTION TEST 
</span></td><td><select name="PULMONARY_TEST">
         <option value="Not Applicable" >Not Applicable  </option>
  <option value="PRESENT"> PRESENT </option>
  <option value="ABSENT">ABSENT   </option>
</select>
</td>
</tr>     

<tr>
    
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review" name='respiratory_system_note' rows="2" cols="70"></textarea></td>
</tr>
          </div>      
          
          
</table>

<table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">CENTRAL NERVOUS SYSTEM            </span> </td></tr></p>
      </table>
        <table id="example2" class="table table-bordered table-hover"> 
      <tr><td><span style="font-size: 20px">HISTORY OF CONVULSION / FITS 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_CONVULSION'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF TREMOR </span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_TREMOR'>
  <span class="slider"></span>
</label>
</td>
</tr>  

<tr><td><span style="font-size: 20px">HISTORY OF  GI BLEEDING 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_GI_BLEEDING'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF ANY NEUROLOGICAL DISEASE </span></h3></td><td><label class="switch">
  <input type="checkbox" name='NEUROLOGICAL_DISEASE'>
  <span class="slider"></span>
</label>
</td>
</tr>  

  <tr>
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review" name='CENTRAL_NERVOUS_note' rows="2" cols="70"></textarea></td>
    </tr>
</table>
<table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">GASTRO INTESTINAL SYSTEM           </span> </td></tr></p>
      </table>
        <table id="example2" class="table table-bordered table-hover"> 
<tr><td><span style="font-size: 20px">H/O/ACIDITY / HEART BURN
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HEART_BURN'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF ANY OTHER DISEASE 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='OTHER_DISEASE'>
  <span class="slider"></span>
</label>
</td>
</tr> 
    <tr>
<td><span style="font-size: 20px">LIVER FUNCTION TEST  </span></h3></td><td><select name="LIVER_FUNCTION_TEST">
         <option value="Not Applicable" >Not Applicable</option>
  <option value="PRESENT"> PRESENT </option>
  <option value="ABSENT">ABSENT   </option>
</select>
</td>

</tr> 


  <tr>
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review" name='GASTRO_INTESTINAL_note'  rows="2" cols="70"></textarea></td>
    </tr>

</table>
<table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">   ENDOCRINE SYSTEM </span> </td></tr></p>
      </table>
  <table id="example2" class="table table-bordered table-hover"> 
      <tr><td><span style="font-size: 20px">HISTORY OF  DM 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_DM'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF HYPER / HYPO THYROIDISM 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_HYPER'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">HISTORY OF ANY OTHER HARMONAL ABNORMALITY 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HARMONAL_ABNORMALITY'>
  <span class="slider"></span>
</label>
</td>
</tr>

  <tr>
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review"  rows="2" name='ENDOCRINE_SYSTEM_note' cols="70"></textarea></td>
    </tr>
</table>
<table id="example2" class="table table-bordered table-hover"> 
      <p><tr><td><span style="font-size: 15px">   GENITO URINARY SYSTEM  </span> </td></tr></p>
      </table>
  <table id="example2" class="table table-bordered table-hover"> 
  <tr><td><span style="font-size: 20px">HISTORY OF HAEMATURIA</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_HAEMATURIA'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF UTI  </span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_UTI'>
  <span class="slider"></span>
</label>
</td>
</tr>  
<tr>
<td><span style="font-size: 20px">HISTORY OF STD 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='HISTORY_STD'>
  <span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF RENAL PROBLEM 
</span></h3></td><td><label class="switch">
  <input type="checkbox" name='RENAL_PROBLEM'>
  <span class="slider"></span>
</label>
</td>
</tr>

  <tr>
    <td><span style="font-size: 20px">Note</span></td><td><textarea id="w3review"  rows="2" name='GENITO_URINARY_note' cols="70"></textarea></td>
    </tr>
</table>
<input type='submit' name='Systemic_Examination' Value='Submit'> 
</form>
 

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AnonSec Team