Back to Results
First PageMeta Content
Health / Enterobacteria / Gram-negative bacteria / Gut flora / Escherichia coli O157:H7 / Hemolytic-uremic syndrome / Bacteria / Microbiology / Escherichia coli


CASE ID__ __ __ __ --__ __ -- __ __ __ Appendix XIII: Case Report Form Hemolytic Uremic Syndrome Surveillance State Department of Health Instructions: Complete the following by interviewing the attending physician and/o
Add to Reading List

Document Date: 2007-07-26 14:07:26

Open Document

File Size: 946,98 KB

Share Result on Facebook

City

Name City / /

Company

Public Health Laboratory / /

Facility

facility City/State / /

IndustryTerm

active surveillance network / /

MedicalCondition

HIV infection / patient's illness / unsure Paralysis / unsure Seizure / Pneumonia / hemiparesis / Kidney Disease / acute illness / diarrhea / gastrointestinal illness / Urinary tract infection / unsure Blindness / neurologic deficits / Respiratory tract infection / /

MedicalTreatment

Hemodialysis / Peritoneal dialysis / catheter / dialysis / abdominal surgery / Plasmapheresis / /

Organization

Department of State / /

Position

Physician / attending physician / non-participating physician / /

Product

sorbitol / /

ProvinceOrState

residence________________ Male / Alaska / /

Technology

antibodies / dialysis / /

SocialTag