Cocaine Addiction Kidney Stones
Craving Decrease With Topiramate In Outpatient Treatment For …
Exclusion criteria Hypersensitivity to TPM, exposure to other pharmacological agents 12 months prior to the initial evaluation, kidney stones Leiderman D, Montgomery A, Vocci F. Retrospective analyses of pooled data from CREST I and CREST II trails for treatment of cocaine dependence. Addiction. 2005; … Access Full Source
Directions: Fill Out Form In Shaded Areas & ‘tab’ Between …
Kidney Stones. Difficulty Urinating. Arthritis. Low Back problems/pain Arthritis Drug or Alcohol Addiction Allergies Glaucoma Anemia Bleeding Diseases (marijuana, cocaine, crack, etc) Yes No List: Have you ever engaged in any activity which has … Get Content Here
MEDICATIONS (including OTC & Herbs): Name: Mg. / Dosage …
Skin Changes Kidney Stones Urinary Complaints 5. HEMATOLOGY: Nausea Blood in Urine Do you use any marijuana, cocaine, or non-prescribed narcotics? (please circle) YES NO … View Doc
J IV WALTON COUNTY
Marijuana, cocaine, crystal meth, ecstasy, Transfusion (If so,when), _ GENITOURINARY: BLOOD IN URINE, PROSTATE PROBLEMS, KIDNEY STONES, VENEREAL DISEASE, AND PSYCHIATRIC: ANXIE'IY, DEPRESSION, DRUG ADDICTION, SUICIDE ATIEMYf, SLEEPING DIFFICULTIES, … View Document
Medical History
Kidney stones. Difficulty urinating. Arthritis. Low back problems Drug or alcohol addiction _____ _____ Glaucoma _____ _____ (marijuana, cocaine, crack, etc.) ( No ( Yes If yes, explain: _____ … Retrieve Content
MEDICAL HISTORY DATE : / /
Kidney Stones 48.Gout 12 Asthma DRUG OR ALCOHOL ADDICTION ( ) YES ( ) NO ( ) NA Do You Use DRUGS( marijuana,cocaine,crack,etc)? … Read Here
Patient History Intake Form
Wheezing Bright Red Blood Pancreas Trouble Kidney Stones Spinal Stenosis Bleeding Gums/Nose Drug Addiction Heroin Cocaine Amount (per day): Marijuana Other … Access This Document
ENT FACULTY PRACTICE – PATIENT QUESTIONNAIRE
Cocaine/Crack Dates of use _____ to _____ MDMA (Ecstasy) Dates of use _____ to _____ Genitourinary : No Problems Bleeding Burning Kidney Stones Prostate Problem Addiction Other:_____ Skin … Doc Retrieval
Advancedfamily.com
Kidney disease Vomiting Diabetes Kidney stones Drug or alcohol addiction Glaucoma Bleeding disorders (marijuana, cocaine, crack) Yes No If yes, explain: Would you like to … Read Here
Benjamin Zappin Intake Form
_____Gallstones _____Heart problems _____Nervous Complaints _____Kidney Stones Do you use alcohol, cigarettes, soda, sugar, coffee, marijuana, cocaine or any other … Access Full Source
/ / Medic!!! Istory Date
Kidney diseases 48. Gout 11. Rheumatic fever 24. Blood in stool 36. Kidney stones 49. Drug or alcohol addiction Glaucoma Bleeding diseases (marijuana, cocaine, crack, etC.) Have you ever engaged in any activity … Read Document
Chapter 2: Basic Eligibility Requirements
(a) All Navy applicants shall be screened for the presence of Marijuana, Cocaine, and Amphetamines (9) History of Urinary disorders such as kidney stones, proteinuria, or childhood enuresis must be handled on a case-by-case basis to determine the individual's role in the addiction. … Read Full Source
Avena News
Concerns plaguing today’s world is addiction. Again, just to clarify, in using the term “addiction” we are not referring to heroin, cocaine or any of the other devastating street drugs; but history of kidney stones, researches found that a dose equivalent to two cups of coffee, subjects … Retrieve Doc
Medical History Date
Frequent Urination Constipation Kidney Disease Drug Abuse Rheumatic Fever Diarrhea Kidney Stones Gout Drug or Alcohol Addiction Glaucoma Bleeding Disease (marijuana, cocaine, crack, etc.) No Yes If yes, Explain: … Retrieve Document
LMG Family Practice Adult Patient History Form
Kidney stones Difficulty urinating Arthritis Low back problems (marijuana, cocaine, crack, etc.) Yes No If yes, explain: _____ Drug or alcohol addiction Glaucoma Bleeding diseases … Fetch Content
ADULT HEALTH ASSESSMENT FORM
STD's Chest pain/Tightness Vomiting Migraines HIV/AIDS Heart Murmur Constipation Kidney Stones Anxiety Mental Disease (Depression) Genetic Disease Glaucoma Arthritis Drug/Alcohol Addiction Kidney Problems Other (marijuana, amphetamines, cocaine) No Yes Do you have smoke detectors in your home? … Fetch Doc