Das pharmakologische Profil von Sildenafil zeigt neben der PDE5-Inhibition auch eine geringe Aktivität an der PDE6 in der Retina. Dies erklärt visuelle Nebenwirkungen wie Farbsehstörungen, die gelegentlich auftreten. Die orale Bioverfügbarkeit beträgt etwa 40 %, mit einer hohen Bindung an Plasmaproteine. Das Verteilungsvolumen ist groß, sodass die Substanz rasch in verschiedene Gewebe gelangt. Die Metabolisierung erfolgt hepatisch und produziert einen aktiven Metaboliten, der die pharmakologische Wirkung ergänzt. Nebenwirkungen sind dosisabhängig und umfassen Kopfschmerzen, Hautrötung und Dyspepsie. Bei Vergleichen innerhalb der Wirkstoffklasse wird viagra original regelmäßig als Beispiel für eine Substanz mit schneller, aber kurzzeitiger Wirkung aufgeführt.
Gikk rotator cuff surgery protocol
TODAY’S DATE:_________ PATIENT NAME: _____________________DATE OF BIRTH: _______________ AGE: _____ HOME PHONE #: _______________ CELL PHONE #:_____________ 1). Please explain what your problem is and what your goals and expectations are: 2). Are you interested in a surgical procedure or non-surgical procedure? 3). If you are here for knee pain check where you have pain: ___medial (big toe side), ___lateral (little toe side), ___anterior compartment (knee cap), ____generalized. 4). If you are here for hip pain check where you have pain: ___groin,___ outer hip area, ___buttock ,___anterior thigh, ___ knee ,___ anterior leg 5). How long have you had pain? ___________ 6). How many blocks can you walk comfortably? ___Less than 1 block, ___1-2 blocks, ___3-6 blocks, ____Over 6 blocks 7). Please mark the activities that bother you: ___walking, ___getting out of a chair, ____doing stairs,___trouble sleeping,___trouble getting dressed 8). Do you have: ___swelling, ___stiffness, ___joint locks, __giving out, ___don’t trust your extremity to hold you, ___trouble getting dressed, __trouble sleeping 9). Do you use a cane? ____ Do you use a walker? ____ 10). Are you on any blood thinners? Such as: Plavix, Coumadin, Xarelto, Pradaxa, Pletal, or Aggrenox. 11). Are you on any rheumatoid drugs? Such as: Methotrexate, Humira, Remicade, or 12). Are you on anything for pain? ________________________________________ 13). If you have cortisone when was your last injection? _________________________ 14). If you have had visco supplementation (“chicken shots”) when was your last shot____ 15). List any surgery on your hip or knee. Date of surgery and where surgery was performed. ______________________________________________________________ GENERAL MEDICAL QUESTIONS 1). Have you seen your dentist in the last six months? YES - NO 2). Circle any of the following risk factors you might have for your heart: Angina – requiring taking nitroglycerin Vascular Disease – such as stroke Heart Attack Hypertension Diabetes High Cholesterol Smoking Positive Family History of Heart Attack (mother, father, or siblings) Obesity Sedentary Activity (Walking less than 1-2 blocks at a time) 3). Do you have a history of a cardiac bypass, coronary angioplasty? __________ 4). Do you have a history of a pulmonary embolism, (blood clot in your lung), DVT, (phlebitis in your leg)______ 5). Have you ever had a bleeding ulcer? YES - NO 6). Do you have a history of sleep apnea? YES - NO If so, mark risk factors you may have: ___Snoring, ___obesity, ___ hypertension, ___excessive tiredness during the day, ____getting up at night, ____ observed apneas, ___congestive heart failure, ____coronary artery disease, ____atrial fibrillation, ___ 17” neck male,___16” neck female
Weils Disease I Leptospirosis Leptospirosis is a disease that can be passed from animals to humans. Leptospirosis is caused by bacteria of the genus Leptospira, (referred to as Leptospires) which infect a variety of wild and domestic animals. The animals can then spread the Leptospires in their urine. Common animal reservoirs (maintenance hosts) include rodents, cattle and pigs. Human i
