Name: Date: Referring Doctor: Family Doctor
Bladder Surgery Biopsy Prostate Brachytherapy Circumcision Contigen Cystoscopy Durasphere Epididymectomy ESWL Herniorrhaphy Hydrocelectomy Ileal conduit Indigo Laser Surgery Inguinal Herniorraphy Interstim Kidney Stone Laser Lithotripsy Meatotomy Glaucoma Pain Worsening Eyesight Allergic ... Doc Viewer
PP-5054 Ophthal Health Questionnaire 022513
Asthma Lupus Enlarged Prostate Kidney Disease Cancer (please describe): Patient’s Surgery History Please describe and include any cosmetic and laser vision correction procedures: Type of Eye Surgery Date of Eye Surgery Yes No Have you had other types of surgery? ... Read Content
EMail: Street City State Zip - Ky Eye
BPH (Enlarged Prostate) Breast Cancer Colon Cancer COPD Ocular Surgery: Check any you have had OR check here if None LTP (Laser for Open Angle Glaucoma) R L B ... Get Doc
Group Health Bellevue Medical Center ©Jian F Ma
Contraindication: close angle glaucoma Enlarged prostate Prostate surgery Prostatic incision Minimally invasive therapy: microwave, etc Laser procedure (greenlight) ... Return Doc
Chickenpox - Wikipedia, The Free Encyclopedia
Chickenpox is a highly contagious disease caused by primary infection with varicella zoster virus (VZV). It usually starts with vesicular skin rash mainly on the body and head rather than at the periphery and becomes itchy, raw pockmarks, which mostly heal without scarring. On examination, the ... Read Article
Dog Health - Wikipedia, The Free Encyclopedia
, and inflammation of the testicle and prostate (prostatitis) in males. Tick fever, enlarged lymph nodes, draining skin lesions, blindness, and lameness. Because dogs are ten times more likely to become infected from the environment than a condition which often requires surgery. ... Read Article
Digestive Disease Associates
_____Glaucoma Surgery _____Cataract Surgery _____Laser Surgery SOCIAL HISTORY. Do you live: Alone With Spouse with Family Other: Religion _____Enlarged Lymph Nodes _____Prolonged Bleeding Title: Digestive Disease Associates Author ... View This Document
Patient Name: DOB Date - Urology Austin PLLC
Erectile Dysfunction Elevated PSA Enlarged prostate (BPH) Hypogonadism Throat: Blindness Cataracts Deafness Glaucoma . Other medical conditions . Cardiovascular: Heart attack (MI) Hypertension Atrial Fibrillation . (surgery for enlarged prostate) TURBT (removal of bladder tumor) ... Return Document
Patient Information: (Please Print) - Landmark Urology
Enlarged Heart Heart Attack Heart Block Heart Bladder Surgery Biopsy Prostate Brachytherapy Circumcision Durasphere Epididymectomy ESWL Herniorrhaphy Hydrocelectomy Ileal conduit Indigo Laser Surgery Inguinal Herniorraphy Interstim Kidney Stone Laser Lithotripsy Meatotomy ... View Doc
Arizona State Urology - Glendale Best Urologist | Phoenix ...
Glaucoma Pain Worsening Eyesight Allergic/Immunologic Animal Allergies Enlarged Heart Heart Attack Heart Block Heart Disease Heart Murmur Bladder Surgery Biopsy Prostate Brachytherapy Circumcision Contigen Cystoscopy ... View Full Source
1p36 Deletion Syndrome - Wikipedia, The Free Encyclopedia
Dilated cardiomyopathy (DCM) is a disease of the heart muscle that causes the heart to become enlarged, and to pump less strongly. This causes fluid to build up in (cancer). Some of the neoplasms involved in the 1p36 are neuroblastoma, prostate cancer, lung cancer, melanoma ... Read Article
VENTURA COUNTY UROLOGY MEDICAL GROUP 2807 LOMA VISTA ROAD STE ...
Please CIRCLE if you have had any of the following surgeries and provide the date of surgery: Cardiovascular Laser Lithotripsy Angioplasty Aortic Aneurysm Bladder Surgery Biopsy Prostate Brachytherapy Circumcision Contigen Glaucoma Hay Fever Menniere's Mumps Sinusitis Tinnitis Vertigo ... Retrieve Here
New Patient Information Women’s Health Specialty Care
Glaucoma Worsening Eyesight Allergic/Immunologic Drug Allergies Bladder Surgery Biopsy Prostate Contigen/Coaptite Cystoscopy Herniorrhaphy Ileal conduit Inguinal Herniorraphy Interstim Kidney Removal Kidney Stone Laser Lithotripsy Nephrolithotomy Orchiectomy Orchiopexy Penile Implant ... Fetch Here
Body Work - YouTube
A prostatectomy is a surgery to remove an enlarged prostate gland due to benign prostatic hyperplasia or prostate cancer. The three common treatments for glaucoma are Laser Trabeculoplasty, Cyclophotocoagulation and Trabeculectomy. ANH00002 Mammogram 1:31. 59. ... View Video
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Glaucoma Diabetic Eye Macular Degeneration Cataracts Yes No Are you taking any medications? Yes No Have you ever had laser or surgery in your eyes or eyelids? Yes No Do you have: Glasses Contact lenses Diabetes Enlarged lymph nodes No to all Other: Allergic/ ... Document Viewer
Anne K. Matsushima, O.D., Inc. Richard H. Miyasaka, O.D ...
¨ Glaucoma ¨ Discharge from eyes ¨ Temporary loss ¨ No ¨ Yes: type_____ Are you interested in laser refractive surgery? ¨ No ¨ Yes Date of last eye exam enlarged lymph glands) ¨ No ¨ Yes:_____ Allergic/Immunologic (e .g. hay fever, Lupus, Sjogren's, HIV ... Retrieve Here
Problems With The Prostate - Hillingdongp.org.uk
• Enlarged Prostate International Comparator Study (EPICS) • Laser techniques (safer in frail, anticoagulated etc.) • Prostate surgery (TURP) Types of retention • Acute • Chronic (high or low pressure) Acute Retention ... Get Content Here
Indicate If You Have Or Have Had Any Of The Following ...
Bronchitis Enlarged heart Laryngeal cancer Sickle cell anemia Breast surgery Ilioconduit Rotator cuff surgery CABG Indigo laser surgery Septoplasty Cystoscopy Lung surgery TUR prostate ... Retrieve Doc
Name Date - Urology Associates
Glaucoma Urgency incontinence Enlarged heart Heart Heart surgery (stents) Indigo laser surgery ... Doc Viewer
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Indigo Laser Surgery _____ Inguinal (Groin) Hernia _____ Interstim _____ Kidney (Laser Ablation of Prostate) _____ GYN Colposcopy _____ Culdocentesis _____ Glaucoma Worsening Eyesight NONE OF THE ABOVE Allergic/Immunologic ... Read Here
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