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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Bone Fracture Detection Form</title>
<style>
* {
box-sizing: border-box;
margin: 0;
padding: 0;
}
body {
font-family: Arial, sans-serif;
background-color: #AAEEBB;
padding: 40px; /* Small padding to avoid touching screen edges completely */
}
form {
width: 100%;
background: #C2FC20;
padding: 15px;
border-radius: 0; /* Remove border radius to fully extend */
box-shadow: none; /* Remove shadow for full-width look */
}
fieldset {
border: 1px solid #000;
margin-bottom: 10px;
padding: 10px;
}
legend {
font-weight: bold;
font-size: 25px;
}
.form-group {
display: flex;
flex-wrap: wrap;
justify-content: space-between;
margin-bottom: 8px;
}
.form-group label {
flex: 1;
font-size: 14px;
margin-right: 5px;
min-width: 100px;
}
.form-group input,
.form-group select,
.form-group textarea {
flex: 2;
padding: 5px;
border: 1px solid #000;
border-radius: 5px;
width: 100%;
}
textarea {
resize: none;
height: 50px;
}
input[type="file"] {
width: 100%;
}
input[type="submit"] {
width: 100%;
background: seagreen;
color: white;
padding: 10px;
font-size: 16px;
border: none;
cursor: pointer;
border-radius: 5px;
margin-top: 10px;
}
input[type="submit"]:hover {
background: green;
}
.cancel-btn {
background: red;
color: white;
}
.submit-btn {
background: seagreen;
color: white;
}
.download-btn {
background: blue;
color: white;
/* Responsive Design */
@media (max-width: 480px) {
.form-group {
flex-direction: column;
}
.form-group label,
.form-group input,
.form-group select,
.form-group textarea {
width: 100%;
}
}
</style>
</head>
<body>
<form action="submit_report.html" method="post" enctype="multipart/form-data">
<img src="0.png" alt="Hospital Logo" class="logo" style="height: 290px;">
<p>A <u>radiologist</u> is a doctor who specializes in reading medical images like X-rays, MRIs, and CT scans to diagnose diseases and injuries. They help other doctors understand what’s happening inside the body and suggest treatments.
</p>
<h3><p>X-Ray</p></h3>
<p>X-rays, or plain radiographs, are a way for providers to get pictures of the inside of your body. X-rays use radiation to create black-and-white images that a radiologist reads. X-rays are most commonly used to look at bones and joints, but providers can use them to quickly diagnose other conditions, like lung infections, too.</p>
<p></p>
<img src="x.jpg" alt="Hospital Logo" class="logo" style="height: 300px;">
<h1>Bone Fractures</h1>
<p>A fracture is a break or crack in a bone, caused by excessive force.</p>
<h2>Causes</h2>
<ul>
<li>Traumatic incidents (sports injuries, accidents, falls)</li>
<li>Osteoporosis, cancer (weakened bones)</li>
</ul>
<h2>Symptoms</h2>
<ul>
<li>Pain, swelling, bruising</li>
<li>Deformity, inability to use the limb</li>
</ul>
<img src="j.jpeg" alt="Hospital Logo" class="logo" style="height: 500px;">
<h2>Types of Fractures</h2>
<ul>
<li>Closed (simple): Bone doesn't pierce skin.</li>
<li>Open (compound): Bone breaks skin.</li>
<li>Greenstick: Partial crack (common in children).</li>
<li>Hairline: Stress fracture.</li>
<li>Complicated: Damage to surrounding tissues.</li>
<li>Comminuted: Bone shattered into pieces.</li>
<li>Avulsion: Tendon pulls bone fragment.</li>
<li>Compression: Bones forced together.</li>
</ul>
<h2>Complications</h2>
<ul>
<li>Blood loss, organ/tissue damage</li>
<li>Stunted bone growth (in children)</li>
<li>Infection</li>
</ul>
<h2>First Aid</h2>
<ul>
<li>Immobilize the injured area.</li>
<li>Control bleeding, cover wounds.</li>
<li>Don't straighten broken bones.</li>
<li>Use splints, slings for support.</li>
<li>Apply cold pack.</li>
<li>Seek medical help immediately (call emergency).</li>
</ul>
<h2>Diagnosis</h2>
<ul>
<li>X-rays, CT scans, MRI scans</li>
</ul>
<h2>Treatment</h2>
<ul>
<li>Splints, braces, plaster casts</li>
<li>Traction, surgical rods/plates</li>
<li>Pain relief</li>
</ul>
<h2>Post-Operation Care</h2>
<ul>
<li>Check for feeling, circulation.</li>
<li>Pain management.</li>
<li>Keep the injured area still.</li>
</ul>
<h2>Healing Process</h2>
<ul>
<li>Blood clots form, then callus (fibrous cells and cartilage).</li>
<li>Callus replaced by real bone.</li>
<li>Follow doctor's instructions for recovery.</li>
</ul>
<h2>Self-Care</h2>
<ul>
<li>Avoid direct heat on cast.</li>
<li>Rest the limb.</li>
<li>Use crutches correctly.</li>
<li>Don't lift or drive until healed.</li>
<li>Don't insert objects into cast.</li>
<li>Keep cast dry.</li>
<li>Seek immediate medical attention for complications.</li>
</ul>
<h2>Long-Term Outlook</h2>
<ul>
<li>Healing takes weeks to months.</li>
<li>Rehabilitation exercises may be needed.</li>
<li>Follow-up x-rays to monitor healing.</li>
</ul>
<h2>Where to Get Help</h2>
<ul>
<li>Your GP</li>
<li>Urgent Care Clinics</li>
<li>Nurse-on-Call</li>
<li>Emergency services (call emergency).</li>
</ul>
<h1>Patient Information Form</h1>
<fieldset>
<legend>Personal Info</legend>
<div class="form-group">
<label>First Name:</label>
<input type="text" name="first_name" required>
<label>____Surname:</label>
<input type="text" name="surname" required>
</div>
<div class="form-group">
<label>Father's Name:</label>
<input type="text" name="father_name" required>
<label>____Mother's Name:</label>
<input type="text" name="mother_name" required>
</div>
<div class="form-group">
<label>Age:</label>
<input type="number" name="age" min="0" required>
<label>____Weight (kg):</label>
<input type="number" name="weight" min="0" required>
</div>
<div class="form-group">
<label>Height (cm):</label>
<input type="number" name="height" min="0" required>
<label>_____Gender:</label>
<select name="gender" required>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
</div>
<div class="form-group">
<label>Passport Photo:</label>
<input type="file" name="photo" accept="image/*" required>
</div>
</fieldset>
<fieldset>
<legend>Contact Details</legend>
<div class="form-group">
<label>Phone:</label>
<input type="tel" name="phone" required>
<label>_________Email:</label>
<input type="email" name="email" required>
</div>
<div class="form-group">
<label>Address:_______________________________________</label>
<textarea name="address" required></textarea>
</div>
<div class="form-group">
<label>Marital Status:</label>
<select name="marital_status" required>
<option value="single">Single</option>
<option value="married">Married</option>
<option value="divorced">Divorced</option>
<option value="widowed">Widowed</option>
</select>
</div>
</fieldset>
<fieldset>
<legend>Medical Info</legend>
<div class="form-group">
<label>Cause of Injury:</label>
<textarea name="injury_cause" required></textarea>
</div>
<div class="form-group">
<label>Do you have Insurance?</label>
<select name="insurance" required>
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
</div>
<div class="form-group">
<label>Allergies?</label>
<select name="allergies" required>
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
</div>
</fieldset>
<fieldset>
<legend>X-ray Upload</legend>
<div class="form-group">
<label>Side View:</label>
<input type="file" name="xray_side" accept="image/*" required>
</div>
<div class="form-group">
<label>Top View:</label>
<input type="file" name="xray_top" accept="image/*" required>
</div>
</fieldset>
<div class="button-group">
<button type="button" class="cancel-btn" onclick="document.querySelector('form').reset();" style="font-size: 26px; padding: 10px 20px;">Cancel</button>
<button type="submit" class="submit-btn" style="font-size: 26px; padding: 10px 20px;">Submit</button>
<button type="button" class="download-btn" onclick="window.location.href='report.pdf';" style="font-size: 26px; padding: 10px 20px;">Download Report (PDF)</button>
</div>
</form>
</body>
</html> |