| Document Date: 2014-08-16 10:58:48
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Facility HOSPITAL INFORMATION / HOSPITAL TREATMENT / / IndustryTerm Travel* / / MedicalCondition Unknown Back pain / Unknown Past alcohol abuse / Epidemiologic Response Plan Diabetes / Present Illness / Unknown HIV infection / pleural effusion / Lymphadenopathy / Other skin characteristics Erythema / Unknown Lymphadenopathy / chronic steroid use / disease / Unknown Diarrhea / Unknown Vomiting / Unknown Headache / Chills / renal failure / Current alcohol abuse / illness / Unknown tenderness/pain Abdominal Pain / Drug Allergies / B/P___/___ Hypotension / cirrhosis / Skin ulcer / Epidemiologic Response Plan INFECTIOUS DISEASE CONSULT / Unknown Cough / Unknown Malaise/fatigue / / MedicalTreatment drug therapy / Antibiotics / / Organization Bioterrorism Surveillance and Epidemiologic Response Plan Suspected Cutaneous Anthrax Case Investigation Form ID NUMBER / Person Hemoglobin / / Position physician / Hb / attending physician / / Product Zovirax / Unknown Past injection / Acyclovir / Unknown Current injection / List / /
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Microsoft Word - Anthrax_Cutaneous.doc