@extends('layouts.app')

@section('content')

<div class="container-fluid">
    <form action="{{route('doc.paciente-protesis3Save')}}" class="mb-5 mt-3">

        <div class="card mb-4 shadow-sm">
            <div class="card-header bg-light">
                <h5 class="mb-0 text-primary">Datos del Paciente</h5>
            </div>
            <div class="card-body">
                <div class="row">
                    <div class="col-12 col-md-4 mb-3">
                        <label class="font-weight-bold">PACIENTE:</label>
                        <input type="text" class="form-control text-uppercase"
                            placeholder="{{$pac->nombre}} {{$pac->apellido}}"
                            value="{{$pac->nombre}} {{$pac->apellido}}" readonly>
                    </div>

                    <div class="col-12 col-md-4 mb-3">
                        <label class="font-weight-bold">FECHA:</label>
                        <input type="date" class="form-control" name="fecha"
                            value="@isset($pro->fecha){{ $pro->fecha }}@endisset">
                    </div>

                    <div class="col-12 col-md-4 mb-3">
                        <label class="font-weight-bold">PIEZA:</label>
                        <input type="text" class="form-control" name="pieza" placeholder="PIEZA"
                            value="@isset($pro->pieza){{ $pro->pieza }}@endisset">
                    </div>

                    <input type="hidden" name="id_paciente" value="{{$pro->paciente_id}}">
                    <input type="hidden" name="hoja" value="{{$pro->hoja}}">
                </div>
            </div>
        </div>

        <div class="row">

            <div class="col-12 col-lg-4 mb-4">
                <div class="card h-100 border-success">
                    <div class="card-header bg-success text-white">
                        HISTORIA Y DOLOR
                    </div>
                    <div class="card-body">
                        <p class="h6 text-success font-weight-bold">HALLAZGOS SUBJETIVOS</p>
                        <div class="mb-3">
                            @foreach([
                            'traumatismo' => 'TRAUMATISMO',
                            'caries' => 'CARIES',
                            'expocariosa' => 'EXPOSICIÓN CARIOSA',
                            'expomecanica' => 'EXPOSICIÓN MECÁNICA',
                            'resdeficiente' => 'RESTAURACIÓN DEFICIENTE',
                            'rdp' => 'RPD',
                            'rpi' => 'RPI',
                            'pulpotomia' => 'PULPOTOMIA',
                            'pulpectomia' => 'PULPECTOMIA',
                            'tcr' => 'TCR'
                            ] as $name => $label)
                            <div class="form-check">
                                <input class="form-check-input" type="checkbox" value="true" name="{{$name}}" id="{{$name}}"
                                    @isset($pro->$name){{ 'checked' }}@endisset> <label class="form-check-label" for="{{$name}}">{{$label}}</label>
                            </div>
                            @endforeach
                        </div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">NATURALEZA DEL DOLOR</p>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="docasintomatico" id="docasintomatico" @isset($pro->dolorAsintomatico){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="docasintomatico">ASINTOMÁTICO</label>
                        </div>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="docespontaneo" id="docespontaneo" @isset($pro->dolorEspontaneo){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="docespontaneo">ESPONTANEO</label>
                        </div>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="docprovocado" id="docprovocado" @isset($pro->dolorProvocado){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="docprovocado">PROVOCADO</label>
                        </div>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="localizado" id="localizado" @isset($pro->dolorLocalizado){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="localizado">LOCALIZADO</label>
                        </div>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="docdifuso" id="docdifuso" @isset($pro->dolorDifuso){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="docdifuso">DIFUSO</label>
                        </div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">DURACIÓN</p>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="dolorcorto" id="dolorcorto" @isset($pro->dolorCorto){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="dolorcorto">CORTO</label>
                        </div>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="dolorprolongado" id="dolorprolongado" @isset($pro->dolorProlongado){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="dolorprolongado">PROLONGADO</label>
                        </div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">EDEMA</p>
                        <div class="form-check">
                            <input class="form-check-input" type="checkbox" value="true" name="edema" id="edema" @isset($pro->edema){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="edema">EDEMA</label>
                        </div>
                    </div>
                </div>
            </div>

            <div class="col-12 col-lg-4 mb-4">
                <div class="card h-100 border-success">
                    <div class="card-header bg-success text-white">
                        PRUEBAS CLÍNICAS
                    </div>
                    <div class="card-body">
                        <p class="h6 text-success font-weight-bold">PRUEBAS TÉRMICAS</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="termicaasintomatica" @isset($pro->pruebaAsintomatica){{ 'checked' }}@endisset id="termicaasintomatica"><label class="form-check-label" for="termicaasintomatica">ASINTOMÁTICA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="termicacorta" id="termicacorta" @isset($pro->pruebaCorta){{ 'checked' }}@endisset><label class="form-check-label" for="termicacorta">CORTA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="termicaprolongado" @isset($pro->pruebaprolongada){{ 'checked' }}@endisset id="termicaprolongado"><label class="form-check-label" for="termicaprolongado">PROLONGADA > 8 seg</label></div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">PALPACIÓN MUCOSA</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="mucosaasintomatica" @isset($pro->mucosaAsintomatica){{ 'checked' }}@endisset id="mucosaasintomatica"><label class="form-check-label" for="mucosaasintomatica">ASINTOMÁTICA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="mucosasintomatica" @isset($pro->mucosaSintomatica){{ 'checked' }}@endisset id="mucosasintomatica"><label class="form-check-label" for="mucosasintomatica">SINTOMÁTICA</label></div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">PERCUSIÓN</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="percusionasintomatica" @isset($pro->percusionAsintomatica){{ 'checked' }}@endisset id="percusionasintomatica"><label class="form-check-label" for="percusionasintomatica">ASINTOMÁTICA</label></div>

                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="percusionleve" id="percusionleve" @isset($pro->percusionLeve){{ 'checked' }}@endisset><label class="form-check-label" for="percusionleve">LEVE</label></div>

                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="percu_moderada" id="percu_moderada" @isset($pro->percu_moderada){{ 'checked' }}@endisset><label class="form-check-label" for="percu_moderada">MODERADA</label></div>


                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="percusionSevera" id="percusionSevera" @isset($pro->percusionSevera){{ 'checked' }}@endisset><label class="form-check-label" for="percusionSevera">SEVERA</label></div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">ESTADO PERIODONTAL</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="perionormal" id="perionormal" @isset($pro->estadoNormal){{ 'checked' }}@endisset><label class="form-check-label" for="perionormal">NORMAL</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="periomovilidad" id="periomovilidad" @isset($pro->estadoMovilidad){{ 'checked' }}@endisset><label class="form-check-label" for="periomovilidad">MOVILIDAD</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="periosignificativa" @isset($pro->estadoSignificativa){{ 'checked' }}@endisset id="periosignificativa"><label class="form-check-label" for="periosignificativa">PERIODONTITIS SIG.</label></div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">FÍSTULA</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="fistulaAusente" id="fistulaAusente" @isset($pro->fistulaAusente){{ 'checked' }}@endisset><label class="form-check-label" for="fistulaAusente">AUSENTE</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="fistulaPresente" id="fistulaPresente" @isset($pro->fistulaPresente){{ 'checked' }}@endisset><label class="form-check-label" for="fistulaPresente">PRESENTE</label></div>
                    </div>
                </div>
            </div>

            <div class="col-12 col-lg-4 mb-4">
                <div class="card h-100 border-success">
                    <div class="card-header bg-success text-white">
                        RX Y DIAGNÓSTICO
                    </div>
                    <div class="card-body">
                        <p class="h6 text-success font-weight-bold">HALLAZGOS RX</p>
                        <div class="row">
                            <div class="col-12">
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hnorma" id="hnorma" @isset($pro->rNormal){{ 'checked' }}@endisset><label class="form-check-label" for="hnorma">NORMAL</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hlpd" id="hlpd" @isset($pro->lpd){{ 'checked' }}@endisset><label class="form-check-label" for="hlpd">LPD ENSANCHADO</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hradiolucidezmax" id="hradiolucidezmax" @isset($pro->radiomax){{ 'checked' }}@endisset><label class="form-check-label" for="hradiolucidezmax">RADIOLUCIDEZ > 10mm</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hradiolucidesmin" id="hradiolucidesmin" @isset($pro->radiomin){{ 'checked' }}@endisset><label class="form-check-label" for="hradiolucidesmin">RADIOLUCIDEZ < 10mm</label>
                                </div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hapical" id="hapical" @isset($pro->curvatura){{ 'checked' }}@endisset><label class="form-check-label" for="hapical">RADIOCAPACIDAD APICAL</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hint" id="hint" @isset($pro->rInt){{ 'checked' }}@endisset><label class="form-check-label" for="hint">RESORCIÓN INT</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hext" id="hext" @isset($pro->rExt){{ 'checked' }}@endisset><label class="form-check-label" for="hext">RESORCIÓN EXT</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hdeficiente" id="hdeficiente" @isset($pro->obturacion){{ 'checked' }}@endisset><label class="form-check-label" for="hdeficiente">OBTURACIÓN DEFICIENTE</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hfractura" id="hfractura" @isset($pro->radicular){{ 'checked' }}@endisset><label class="form-check-label" for="hfractura">FRACTURA RADICULAR</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hperforacion" id="hperforacion" @isset($pro->perforacion){{ 'checked' }}@endisset><label class="form-check-label" for="hperforacion">PERFORACIÓN</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hposte" id="hposte" @isset($pro->poste){{ 'checked' }}@endisset><label class="form-check-label" for="hposte">POSTE</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hinstrumento" id="hinstrumento" @isset($pro->rfracturado){{ 'checked' }}@endisset><label class="form-check-label" for="hinstrumento">INSTRUMENTO FRACT.</label></div>
                                <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="hapice" id="hapice" @isset($pro->apiceinmaduro){{ 'checked' }}@endisset><label class="form-check-label" for="hapice">ÁPICE INMADURO</label></div>
                            </div>
                        </div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">DX PULPAR</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxreversible" id="dxreversible" @isset($pro->preversible){{ 'checked' }}@endisset><label class="form-check-label" for="dxreversible">PULPITIS REVERSIBLE</label></div>



                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="pulpa_normal" id="pulpa_normal" @isset($pro->pulpa_normal){{ 'checked' }}@endisset><label class="form-check-label" for="pulpa_normal">PULPA NORMAL</label></div>


                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxpulpitissintomaticaireversible" id="dxpulpitissintomaticaireversible" @isset($pro->pulpitissintomaticaireversible){{ 'checked' }}@endisset><label class="form-check-label" for="dxpulpitissintomaticaireversible">PULPITIS IRREVERSIBLE SINTOMÁTICA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxpreviamenteiniciado" id="dxpreviamenteiniciado" @isset($pro->previamenteiniciado){{ 'checked' }}@endisset><label class="form-check-label" for="dxpreviamenteiniciado">PREVIAMENTE INICIADO</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxpreviamenteiniciado" id="dxpreviamenteiniciado" @isset($pro->previamenteiniciado){{ 'checked' }}@endisset><label class="form-check-label" for="dxpreviamenteiniciado">PREVIAMENTE TRATADO</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxnecrosis" id="dxnecrosis" @isset($pro->necrosis){{ 'checked' }}@endisset><label class="form-check-label" for="dxnecrosis">NECROSIS PULPAR</label></div>

                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxirreversible" id="dxirreversible" @isset($pro->pirreversible){{ 'checked' }}@endisset><label class="form-check-label" for="dxirreversible">PULPITIS IRREVERSIBLE</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxnecrosis" id="dxnecrosis" @isset($pro->nrecosis){{ 'checked' }}@endisset><label class="form-check-label" for="dxnecrosis">NECROSIS</label></div>

                        <hr>
                        <p class="h6 text-success font-weight-bold">DX PERIAPICAL</p>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxpaa" id="dxpaa" @isset($pro->paa){{ 'checked' }}@endisset><label class="form-check-label" for="dxpaa">PAA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxaaa" id="dxaaa" @isset($pro->aaa){{ 'checked' }}@endisset><label class="form-check-label" for="dxaaa">AAA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxpac" id="dxpac" @isset($pro->pac){{ 'checked' }}@endisset><label class="form-check-label" for="dxpac">PAC</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxaac" id="dxaac" @isset($pro->aac){{ 'checked' }}@endisset><label class="form-check-label" for="dxaac">AAC</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxafenix" id="dxafenix" @isset($pro->afenix){{ 'checked' }}@endisset><label class="form-check-label" for="dxafenix">A FENIX</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="dxcondensante" id="dxcondensante" @isset($pro->osteitis){{ 'checked' }}@endisset><label class="form-check-label" for="dxcondensante">OSTEITIS CONDENSANTE</label></div>

                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="apicales_sanos" id="apicales_sanos" @isset($pro->apicales_sanos){{ 'checked' }}@endisset><label class="form-check-label" for="TeVidosApicalesSanos">TEJIDOS APICALES SANOS</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="periodontitis_sintomatica" id="periodontitis_sintomatica" @isset($pro->periodontitis_sintomatica){{ 'checked' }}@endisset><label class="form-check-label" for="periodontitis_sintomatica">PERIODONTITIS APICAL SINTOMÁTICA</label></div>
                        <div class="form-check"><input class="form-check-input" type="checkbox" value="true" name="periodontitis_asintomatica" id="periodontitis_asintomatica" @isset($pro->periodontitis_asintomatica){{ 'checked' }}@endisset><label class="form-check-label" for="periodontitis_asintomatica">PERIODONTITIS APICAL ASINTOMÁTICA</label></div>


                    </div>
                </div>
            </div>
        </div>

        <div class="row mb-4">
            <div class="col-12">
                <div class="card border-success">
                    <div class="card-body">
                        <label class="h6 text-success font-weight-bold">OBSERVACIONES INICIALES:</label>
                        <textarea name="observacionesIniciales" class="form-control mb-3" rows="3">@isset($pro->observaciones){{ $pro->observaciones  }}@endisset</textarea>

                        <p class="h6 text-success font-weight-bold">PRONÓSTICO</p>
                        <div class="form-check form-check-inline">
                            <input class="form-check-input" type="checkbox" value="true" name="pronosfavorable" id="pronosfavorable" @isset($pro->favorable){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="pronosfavorable">FAVORABLE</label>
                        </div>
                        <div class="form-check form-check-inline">
                            <input class="form-check-input" type="checkbox" value="true" name="pronosreservado" id="pronosreservado" @isset($pro->reservado){{ 'checked' }}@endisset>
                            <label class="form-check-label" for="pronosreservado">RESERVADO</label>
                        </div>
                    </div>
                </div>
            </div>
        </div>

        <div class="card border-success mb-4">
            <div class="card-header bg-success text-white">
                <h5 class="mb-0">TRATAMIENTO (TX)</h5>
            </div>
            <div class="card-body">
                <div class="row">
                    @php
                    $camposTx = [
                    ['label' => 'CONDUCTOMETRÍA', 'name' => 'conductometria', 'val' => $pro->conductometria ?? ''],
                    ['label' => 'LIMA ANATÓMICA', 'name' => 'limaanatomica', 'val' => $pro->lanatomica ?? ''],
                    ['label' => 'LIMA MAESTRA', 'name' => 'limamaestra', 'val' => $pro->lmaestra ?? ''],
                    ['label' => 'CONO MAESTRO', 'name' => 'conomaestro', 'val' => $pro->cmaestro ?? ''],
                    ['label' => 'IRRIGANTE', 'name' => 'irrigante', 'val' => $pro->irrigantes ?? ''],
                    ['label' => 'SELLADOR', 'name' => 'sellador', 'val' => $pro->sellador ?? ''],
                    ['label' => 'MEDICACIÓN INTRACONDUCTO', 'name' => 'medicintraconducto', 'val' => $pro->medicamento ?? ''],
                    ['label' => 'ANTINFLAMATORIO', 'name' => 'antinflamatorio', 'val' => $pro->antinflamatorio ?? ''],
                    ['label' => 'ANTIBIOTERAPIA', 'name' => 'antibioterapia', 'val' => $pro->antibioterapia ?? '']
                    ];
                    @endphp

                    @foreach($camposTx as $campo)
                    <div class="col-12 col-md-6 mb-3">
                        <label class="font-weight-bold text-muted small">{{ $campo['label'] }}:</label>
                        <textarea name="{{ $campo['name'] }}" class="form-control" rows="1">{{ $campo['val'] }}</textarea>
                    </div>
                    @endforeach
                </div>
            </div>
        </div>

        <div class="row">
            <div class="col-12 col-md-4 mb-4">
                <div class="card border-success h-100">
                    <div class="card-header bg-success text-white">SX (SEGUIMIENTO)</div>
                    <div class="card-body">
                        <div class="form-group">
                            <label>1 MES:</label>
                            <textarea name="primermes" class="form-control" rows="1">@isset($pro->mes1){{ $pro->mes1 }}@endisset</textarea>
                        </div>
                        <div class="form-group">
                            <label>3 MESES:</label>
                            <textarea name="tresmeses" class="form-control" rows="1">@isset($pro->mes3){{ $pro->mes3 }}@endisset</textarea>
                        </div>
                        <div class="form-group">
                            <label>6 MESES:</label>
                            <textarea name="seismeses" class="form-control" rows="1">@isset($pro->mes6){{ $pro->mes6 }}@endisset</textarea>
                        </div>
                    </div>
                </div>
            </div>

            <div class="col-12 col-md-8 mb-4">
                <div class="card border-success h-100">
                    <div class="card-header bg-success text-white">CX (COMPLICACIONES)</div>
                    <div class="card-body">
                        <textarea name="cx2" class="form-control h-100" rows="5">@isset($pro->cx){{ $pro->cx }}@endisset</textarea>
                    </div>
                </div>
            </div>
        </div>

        <div class="row">
            <div class="col-12">
                <div class="card border-success">
                    <div class="card-header bg-success text-white">TX COMPLEMENTARIOS</div>
                    <div class="card-body">
                        <textarea name="txcomplemetarios" class="form-control" rows="4">@isset($pro->complementarios){{ $pro->complementarios }}@endisset</textarea>
                    </div>
                </div>
            </div>
        </div>

        <div class="row mt-4 mb-5">
            <div class="col-12">
                <button type="submit" class="btn btn-success btn-lg btn-block oculto-impresion">
                    <i class="fa fa-save"></i> GUARDAR
                </button>
            </div>
        </div>

    </form>
</div>

@endsection