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<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D;mso-fareast-language:EN-US">
Estimadas(os) ,envío última evolución de visita a paciente de Linares Sra. Marcela Contreras Aedo .<o:p>
</o:p>
</span>
</p>

<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D;mso-fareast-language:EN-US">
Muchas gracias.<o:p>
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<p class="MsoNormal">
<b>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
Mario Peña y Lillo Contreras</span>
</b>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
<br>

Medico Director<br>

Gerencia de Salud<br>

Tel.: (73) 563825 <br>

Fax: (73) 563810<br>

e-mail: </span>
<u>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:blue">
mpenaylillo@mutual.cl</span>
</u>
<span style="font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D">
<o:p>
</o:p>
</span>
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<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
Freire n° 663- Linares Chile<br>

Mutual de Seguridad C. CH. C. Tel.: (2) 787 9000 - <a href="mailo:info@mutual.cl" title="mailo:info@mutual.cl">

info@mutual.cl</a>
 - <a href="http://www.mutual.cl/" title="http://www.mutual.cl/">

http://www.mutual.cl/</a>
</span>
<span style="font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D">
<o:p>
</o:p>
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<p class="MsoNormal">
<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D;mso-fareast-language:EN-US">
<o:p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0cm 0cm 0cm">

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<b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;">
De:</span>
</b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;">
 Formularios de Google [mailto:forms-receipts-noreply@google.com]
<br>

<b>
Enviado el:</b>
 lunes, 05 de agosto de 2019 8:56<br>

<b>
Para:</b>
 Mario Peña Y Lillo C<br>

<b>
Asunto:</b>
 Registro de Atención Domiciliaria Oncovida<o:p>
</o:p>
</span>
</p>

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<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:#26049A">

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<td style="padding:0cm 0cm 0cm 18.0pt">

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<img border="0" id="_x0000_i1025" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png" alt="Formularios de Google">
<o:p>
</o:p>
</p>

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<div style="border:none;border-bottom:solid #E0E0E0 1.0pt;padding:0cm 0cm 0cm 0cm;max-width: 624px;min-width: 154px">

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<o:p>
&nbsp;</o:p>
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<p class="MsoNormal" style="line-height:13.5pt">
<b>
<span style="font-size:10.0pt;color:#424242">
Gracias por llenar
<a href="https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=mail_form_link">

Registro de Atención Domiciliaria Oncovida</a>
<o:p>
</o:p>
</span>
</b>
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<span style="font-size:10.0pt;color:#424242">
Estas son tus respuestas:<o:p>
</o:p>
</span>
</p>

</div>

</td>

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<tr>

<td style="padding:0cm 0cm 0cm 0cm">

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<h1 style="mso-margin-top-alt:8.05pt;margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">

Registro de Atención Domiciliaria Oncovida<o:p>
</o:p>
</h1>

<div style="margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">

<p class="MsoNormal">
Este es el sistema de registro de atenciones domiciliarias de Oncovida. Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria. Si usted no es prestador de Oncovida por favor no llene este
 formulario. A continuación indique su correo electrónico.<o:p>
</o:p>
</p>

</div>

</div>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Dirección de correo electrónico
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
<a href="mailto:mpenaylillo@mutual.cl">
mpenaylillo@mutual.cl</a>
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1026" src="https://lh3.googleusercontent.com/00-FWRRIiJNpjLIXj1QrTLVceHhiPxWpIN-K4cI0enEtAvmFFnvOHRJTMz5Lq8yFpMHz7WvBnNdiNVchE6Snklpxxc7gIx3OoqTfn_sB2_iSp_6sx7Sr2pww-0pD" alt="Imagen sin título">
<o:p>
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<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
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<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Identificación del Prestador<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
Aquí debe ingresar sus datos personales<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Primer Nombre y Apellido Paterno
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Mario Peña y Lillo<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
RUT <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</span>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
7837871-9<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Tipo <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
Si asisten más de 1 prestador simultáneamente, cada uno debe hacer un registro independiente<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[MEDICO&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1027" src="https://lh3.googleusercontent.com/mRJInQVKRU12r9blREv2jmlzETLT9JfIHWC0FaeXYfPraPFE9ebBRX8P_hmpfiBP6BNpOgjPBYU0zwBxYxgoLvjQ7EjfjoRTJ2_-8flTaiU_wC008XC8LpcEJ_Yp" alt="Imagen sin título">
<o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Identificación del Paciente<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
En esta sección debe ingresar los datos del paciente visitado<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Datos Personales del Paciente<o:p>
</o:p>
</h2>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Ingrese el Rut del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</span>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
10560826-8<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Ingrese el Primer Nombre y Apellido Paterno del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Marcela Contreras Aedo<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Previsión <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[COLMENA&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Ciudad <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Pacifico 12,Linares.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Comuna <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Linares.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1028" src="https://lh6.googleusercontent.com/URytM0QWRGW_JEL0xQxvOLvwPRJIHyqlnKOm6ky9DRBfzvYVPaAngXV35GNHnaVG-dm9Orno4lr8sy8E-KB9tMrmIhFbVQiOPWy3vUclqRKAJ51dvLdhjBKgXdLO" alt="Imagen sin título">
<o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Registro de la Atención Domiciliaria<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
En esta sección debe ingresar los datos de la atención domiciliaria<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Tipo de Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
(X)</span>
 <span class="ss-choice-label">

Domicilio</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
(&nbsp;)</span>
 <span class="ss-choice-label">

Ambulatorio</span>
 <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Fecha de la Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
[agosto&nbsp;\/] [3&nbsp;\/] [2019&nbsp;\/] <o:p>

</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Hora de la Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
[16&nbsp;\/] . [30&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Performance Status ECOG del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[1&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Escala Dolor EVA Actual <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_1421689035">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Escala Dolor EVA Máximo <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_1244707512">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Escala Dolor EVA Mínimo <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_853118630">

<tbody>

<tr>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>

</tr>

<tr>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>

</tr>

</tbody>

</table>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Anamnesis/Evolución <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Paciente que luego de cirugía realizada el día 15/05/2019 por Cáncer Anexial Izq. presenta mucho dolor pélvico y CEG . Disuria y Poliaquiuria ,debe orinar cada
 1-2 horas por urgencias miccionales con dolor, además de dolor con irradiación ciática izq. Ha sido evaluada por Urólogo y Neurocirujano para buscar una solución y explicación a dichas dolencias que básicamente se deben a complicaciones y consecuencias de
 la radiación recibida en contexto terapéutico previo a su operación. el 30/08/2019 fue evaluada por Dr. Scholberg en Concepción ,quien luego de examinarla considera que además existen trastornos de cicatrización ,por efecto de radiación en cúpula vaginal,
 también condiciona molestias ginecológicas. Será evaluada nuevamente la semana que viene para buscar alguna solución(una de ellas sería una Terapia Hiperbárica , sesiones durante varias semanas en Stgo).
<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Examen Físico <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Vigil orientada, se destaca evidente perdida de peso desde el comienzo de su enfermedad(&#43;- 10 kg),aparte de la afectación anímico y psicológica ,condicionada por
 dolores pélvicos persistentes y permanentes Examen cardiopulmonar normal, satura 97 % .Abdomen BDI excepto .dolor Hipogastrico sin blumberg.Sin lesiones en su piel.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Diagnóstico <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Cancer Anexial izq Operado 2.- Cistitis Actinica .Neuropatia Ciatica izq Actinica Cirugia Oncologica ,histerectomia total compicada<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Plan de Tratamiento e Indicaciones
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Seguir evaluación por especialistas : Urólogo, neurocirujano y Ginecologo/oncólogo tratante con el fin de dar una solución a sus dolencias y secuelas post Radioterapia
 recibida . Se indica manejo Nutricional por importante perdida de peso (&#43;- 10 kg)<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Medicamentos Indicados <o:p>

</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Analgésicos según necesidad: Zaldiar 1/2-1/2- uno por día Parches de Transtec 1/2 c/3.5 días tratamiento urológico ya indicado Pregabalina (Lyrica 75 mg al desayuno
 y 150 mg a las 21 hrs <o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Fecha aproximada del Próximo Control con usted
<o:p>
</o:p>
</b>
</p>

</div>

<div>

<div style="border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">

<p class="MsoNormal" style="vertical-align:middle">
[agosto&nbsp;\/] [10&nbsp;\/] [2019&nbsp;\/] <o:p>

</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Tratamiento Realizado (si corresponde)
<o:p>
</o:p>
</b>
</p>

</div>

<div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">

<p class="MsoNormal" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
No.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Derivación a otro Prestador Domiciliario
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
Sólo llene esta sección si es médico y solicita la visita de otro prestador del equipo<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[X]</span>
 <span class="ss-choice-label">

ENFERMERA</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

TENS</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[X]</span>
 <span class="ss-choice-label">

NUTRICIONISTA</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

KINESIOLOGO</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

PSICOLOGO</span>
 <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">

<div style="margin-bottom:18.0pt;max-width:100%">

<p class="MsoNormal" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1029" src="https://lh5.googleusercontent.com/Bpur5zPteyG-bXtM-WNRuiLwTi8myvetX7lBkdjzbnQyqUlGcuv84zmWyU3x0Ua2-_WXX9PiJ2cMBOO0zhG2nHX7tXXPHH6_X8UTG8MZzIBwxETkF0a8JyZtuxSL" alt="Imagen sin título">
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</td>

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<tr>

<td style="padding:0cm 0cm 0cm 0cm">

<p class="MsoNormal">
<a href="https://docs.google.com/forms?usp=mail_form_link">
<span style="font-size:10.0pt;color:#424242">
Crear tu propio Formulario de Google</span>
</a>
<o:p>
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