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                    <div style="overflow-x:scroll"><P>Induration - adj. idurated - is the state of hardening of tissues.</P><p class='text-muted'>Last reviewed 01/2018</p></div>
                
            
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    <script src="/js/bundle.js"></script>

    <script>
        var gpn = {};
        gpn.user_id = '0';

        window.iq.pushToDatalayerNew(
            'clinical_page_info',
            {
                'page_title' : 'induration',
                'clinical_chapter' : '99',
            },
        );
    </script>
    <script src="/js/simplepage.js" defer></script>
</body>
</html>


<div class="modal fade annotations-modal-add base-modal gpnotebook"
     id="annotationsModalAdd"
     tabindex="-1"
     role="dialog"
     aria-labelledby="annotationsModalAdd"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h2 class="modal-title h2-base mb-16">
                    Add page annotation
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                <button type="button"
                        class="close"
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                >
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                </button>
            </div>

            <div class="modal-body p-24">
                <span>Add your personal annotation to this page:</span>
                <br>

                
                    <span class="text-primary font-weight-bold ml-3">
                        -induration
                    </span>

                    <form class="mt-4"
                          method="post"
                          action="/en-gb/pro/simplepage/annotations.cfm"
                    >
                        <input name="subjectID"
                               type="hidden"
                               id="subjectID_annotation"
                               value="-1113980870"
                        >

                        <div class="form-group">
                            <label for="annot_title">
                                Title of annotation
                            </label>

                            <input type="text"
                                   class="form-control"
                                   name="annot_title"
                                   id="annot_title"
                                   aria-describedby="annot_title"
                                   required
                            >
                        </div>

                        <div class="form-group mb-24">
                            <label for="annot_title">
                                Annotation note
                            </label>

                            <textarea name="annot_body"
                                      class="form-control"
                                      id="annot_body"
                                      rows="4"
                                      required
                            ></textarea>
                        </div>

                        <div class="text-right">
                            <button type="submit" class="btn btn-primary">
                                Submit
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            </div>
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<div class="modal fade annotations-modal-edit base-modal gpnotebook"
     id="annotationsModalEdit"
     tabindex="-1"
     role="dialog"
     aria-labelledby="annotationsModalEdit"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h3 class="modal-title h2-base mb-16">
                    Edit page annotation
                </h3>

                <button type="button"
                        class="close"
                        data-dismiss="modal"
                        aria-label="Close"
                >
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>

            <div class="modal-body p-24">
                <span>Edit your personal annotation to this page:</span>
                <br>

                
                    <span class="text-primary font-weight-bold ml-3">
                        -induration
                    </span>

                    <form class="mt-4"
                          method="post"
                          action="/en-gb/pro/simplepage/annotations.cfm"
                    >
                        <input name="subjectID"
                               type="hidden"
                               id="subjectID_edit"
                               value="-1113980870"
                        >

                        <input name="annotID"
                               type="hidden"
                               id="annotID"
                               value="0"
                        >

                        <div class="form-group mb-24">
                            <label for="annot_title_edit">
                                Title of annotation
                            </label>

                            <input type="text"
                                   class="form-control"
                                   name="annot_title"
                                   id="annot_title_edit"
                                   aria-describedby="annot_title"
                                   required
                            >
                        </div>

                        <div class="form-group mb-24">
                            <label for="annot_body_edit">
                                Annotation note
                            </label>

                            <textarea
                                name="annot_body"
                                class="form-control"
                                id="annot_body_edit"
                                rows="4"
                                required
                            ></textarea>
                        </div>

                        <div class="text-right d-flex justify-content-between">
                            <div>
                                <input type="submit"
                                       class="btn btn-gpn-secondary px-4"
                                       name="delete_annot"
                                       value="Delete Note"
                                >
                            </div>

                            <div>
                                <input type="submit"
                                       class="btn btn-primary px-5"
                                       name="update_annot"
                                       value="Save"
                                >
                            </div>
                        </div>
                    </form>
                
            </div>
        </div>
    </div>
</div>

<script>
    $(document).on('click', '.annotation-link', function () {
        var annotID = $(this).data('id');
        var annotTitle = $(this).data('title');
        var annotNote = $(this).data('note');

        $('#annotationsModalEdit .modal-body #annotID').val(annotID);
        $('#annotationsModalEdit .modal-body #annot_title_edit').val(annotTitle);
        $('#annotationsModalEdit .modal-body #annot_body_edit').val(annotNote);
    });
</script>


<div class="modal fade reflection-add-simplepage-modal base-modal gpnotebook"
     id="reflectionsModal"
     tabindex="-1"
     role="dialog"
     aria-labelledby="reflectionsModal"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h3 class="modal-title h2-base">
                    Add reflective note
                </h3>

                <button type="button"
                        class="close"
                        data-dismiss="modal"
                        aria-label="Close"
                >
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>

            <div class="modal-body p-24">
                <div id="reflectionsError" class="small text-danger mb-3"></div>

                <span>
                    Add your reflection on what you learned from this page and how it relates to your practice:
                </span>
                <br>

                
                    <span class="text-primary font-weight-bold ml-3">
                        -induration
                    </span>

                    <form id="add-reflection-form"
                          class="mt-4 reflection-form"
                          method="post"
                    >
                        <input type="hidden"
                               id="trackitID"
                               name="trackitID"
                               value="0"
                        >

                        <div class="form-group mb-24">
                            <label for="reflection_title">
                                Title of reflection
                            </label>

                            <input type="text"
                                   class="form-control"
                                   name="reflection_title"
                                   id="reflection_title"
                                   aria-describedby="reflection_title"
                                   value=""
                                   required
                            >
                        </div>

                        <div class="form-group mb-24">
                            <label for="reflection_note">
                                Reflective note
                            </label>

                            <textarea name="reflection_note"
                                      class="form-control"
                                      id="reflection_note"
                                      rows="4"
                                      required
                            ></textarea>
                        </div>

                        
                        <div class="form-group mb-24">
                            <label for="reflection_note">
                                Focus of reflection
                            </label>

                            <select class="custom-select"
                                    name="impact"
                                    id="impact"
                                    required
                            >
                                <option value="" disabled selected>
                                    Focus of reflection?
                                </option>

                                
                                    <option value="1">
                                        Communication
                                    </option>
                                
                                    <option value="2">
                                        Investigation
                                    </option>
                                
                                    <option value="3">
                                        Diagnosis
                                    </option>
                                
                                    <option value="4">
                                        Management
                                    </option>
                                
                                    <option value="5">
                                        Prescribing
                                    </option>
                                
                                    <option value="6">
                                        Non-drug treatment
                                    </option>
                                
                                    <option value="7">
                                        Referral
                                    </option>
                                
                                    <option value="8">
                                        CPD
                                    </option>
                                
                                    <option value="9">
                                        Other
                                    </option>
                                
                            </select>
                        </div>

                        <div class="text-right">
                            <button type="submit" class="btn btn-primary">
                                Submit
                            </button>
                        </div>
                    </form>
                
            </div>
        </div>
    </div>
</div>


<div class="modal fade gpnotebook" id="reflectionsModalSuccess" tabindex="-1" role="dialog" aria-labelledby="reflectionsModalSucess" aria-hidden="true">
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0">
                <h3 class="modal-title text-primary font-weight-bold">Reflection saved</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body pt-0">
                <p class="mb-5">Your reflective note has been saved, and you have now claimed CPD credits for this activity!</p>
                <div class="text-right">
                    
                        <form action="/en-gb/pro/simplepage/page_reload.cfm" method="post">
                            <input name="pageID" type="hidden" id="pageID" value="-1113980870" />
                            <div class="text-right d-block d-sm-flex justify-content-between">
                                <div>
                                    <a href="/pro/dashboard/index.cfm#reflections-panel" class="btn btn-white-2 px-4 mb-2 mb-sm-0"><strong>Go to CPD dashboard</strong></a>
                                </div>
                                <div>
                                    <button type="button" class="btn btn-primary px-5" data-dismiss="modal" aria-label="Close">
                                        <span aria-hidden="true">Done</span>
                                    </button>
                                </div>
                            </div>
                        </form>
                    
                </div>
            </div>
        </div>
    </div>
</div>


<div class="modal fade feedback-modal base-modal gpnotebook"
     id="feedbackModal"
     tabindex="-1"
     role="dialog"
     aria-labelledby="feedbackModal"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h2 class="modal-title h2-base mb-16">
                    Something wrong?
                </h2>

                <button type="button"
                        class="close"
                        data-dismiss="modal"
                        aria-label="Close"
                >
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>

            <div class="modal-body p-24">
                <span>
                    Please let us know your feedback regarding the page:
                </span>
                <br>

                
                    <span class="text-primary font-weight-bold ml-3">
                        -induration
                    </span>

                    <form class="mt-4 feedback-form"
                          method="post"
                          action="pro/simplepage/feedback.cfm"
                    >
                        <input name="feedback_title"
                               id="feedback_title"
                               value="induration"
                               type="hidden"
                        >

                        <input name="subjectID"
                               type="hidden"
                               id="subjectID_feedback"
                               value="-1113980870"
                        />

                        <div class="form-group mb-24">
                            <textarea name="feedback_note"
                                      class="form-control"
                                      id="feedback_note"
                                      rows="6"
                                      required
                            ></textarea>
                        </div>

                        <div class="text-right">
                            <button type="submit" class="btn btn-primary">
                                Submit
                            </button>
                        </div>
                    </form>
                
            </div>
        </div>
    </div>
</div>


<div class="modal fade feedback-success-modal base-modal gpnotebook"
     id="feedbackModalSucess"
     tabindex="-1"
     role="dialog"
     aria-labelledby="feedbackModalSucess"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h2 class="modal-title h2-base mb-16">
                    Feedback sent.
                </h2>

                <button type="button"
                        class="close"
                        data-dismiss="modal"
                        aria-label="Close"
                >
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>

            <div class="modal-body p-24">
                <p class="mb-24">
                    Thank you for your feedback. Your message has been sent to the team for further investigation.
                </p>

                <div class="text-right">
                    
                        <form action="/en-gb/pro/simplepage/page_reload.cfm"
                              method="post"
                        >
                            <input name="pageID"
                                   id="pageID_feedback"
                                   type="hidden"
                                   value="-1113980870"
                            />

                            <input type="submit"
                                   class="btn btn-primary px-5"
                                   name="update_annot"
                                   value="Done"
                            >
                        </form>
                    
                </div>
            </div>
        </div>
    </div>
</div>


<div class="modal fade non-subscriber-modal base-modal gpnotebook"
     id="nonSubscriberModal"
     tabindex="-1"
     role="dialog"
     aria-labelledby="reflectionsModalSucess"
     aria-hidden="true"
>
    <div class="modal-dialog modal-dialog-centered" role="document">
        <div class="modal-content">
            <div class="modal-header border-bottom-0 p-24">
                <h3 class="modal-title h2-base mb-16">
                    Reflective notes are a feature of GPnotebook Pro
                </h3>

                <button type="button"
                        class="close"
                        data-dismiss="modal"
                        aria-label="Close"
                >
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>

            <div class="modal-body p-24">
                <p>
                    Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook.
                </p>

                <p class="mb-24">
                    We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, <a href="/en-gb/pro/index.cfm">click here.</a>
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                    <div class="text-right d-block d-sm-flex justify-content-between">
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                            <a href="/en-gb/pro/index.cfm"
                               class="btn btn-gpn-secondary px-4 mb-2 mb-sm-0"
                            >
                                <strong>Join now!</strong>
                            </a>
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                            <button type="button"
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                                    aria-label="Close"
                            >
                                <span aria-hidden="true">Close</span>
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