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.
Dr. bruno paliani - new patient package
Name : _________________________________________
MEDICAL HISTORY
Are you presently being treated for any medical condition? If yes, please explain ______________________________________________________ Are you presently under the care of a physician ? If yes, please explain ______________________________________________________________ Have you had a medical examination in the last year ? For ? _______________________________________________________________________ When was your last complete physical? _____________________ New findings? ______________________________________________________ Has there been any change in your general health in the past year? If yes, please explain _________________________________________________ Have you ever been tested positive for any immunocompromising disease? If yes, please explain __________________________________________ Is there any other medical condition, adverse reaction, disease or problem not listed above? If yes, please explain _____________________________ Have you ever been hospitalized for any serious illness, operations, or conditions requiring extensive medical care?___________________________ Have you ever been advised by your doctor(s) to take antibiotics before dental treatment?________________________________________________ Do you have or have you ever had any of the following ? (If yes, please circle) HeartCirculatory System
- Heart condition/problem - bleeding problem/disorder
heart surgery/valve surgery - Sickle Cell Anemia - seizures
prosthetic heart valve - Hemophilia - dizzy spells
- Leukemia - fainting spells - frequent ear aches
Liver and Kidney Face/Jaw/Teeth
- warned against giving blood - bladder problems
- extra pillows to sleep or recline - give blood regularly
Lungs/Respiratory Head and Neck Infectious Diseases Neuro/Muscular/Skeletal Digestive System Family History of… Operations/Surgery
- other operations requiring hospitalization ________________
Women Only Social History
lost 10 lbs. in last year Eating Disorders Allergies, Adverse Reactions or Hypersensitivities Taking the Following Medications Dental History
- OTHER drugs/medicine/injections__________________________
- latex/rubber ____________________________________________
- Environmental allergies ___________________________________
- other prescription drugs________________________________
metal allergies (ie jewelry) ________________________________
- other over-the-counter (non-prescription) drugs _____________
- Herbal Supplements ___________________________________
- OTHER_____________________________________________
Foods ________________________________________________
Hives, Rashes _________________________________________
Family Physician Specialists Specialty: Current Medications Used Present Medical Condition (Existing Illnesses) Name of Drug Daily Schedule Comments
I have reviewed the medical history on the previous page and have noted any changes. I have also updated theinformation above in regards to my present medical condition and current medications being used. To the bestof my knowledge, I believe this information to be accurate and true and have not knowingly omitted anyinformation. In addition, I give my permission for Dr. Paliani and his staff to communicate with any otherhealthcare provider in regards to my medical and dental treatment.
Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________Date:__________________ Signature:________________________________ Staff/DDS Initials:________
F:\docs\Office manual - Revised - 2001-05-17\Chart Maintenance\Patient Information Forms\MEDICAL HISTORY.doc
This publication is intended to provide information about Tourette Syndrome, its management and medications currently in use. Families are advised to consult a physician concerning all treatments and medications. Tourette Syndrome (TS) or Tourette’s disorder (DSM expertise and the time to do the evaluation and be able IV-TR) is a childhood onset, brain-based disorder to start and
HAND INFECTIONS: GENERAL INFORMATION KEY FIGURE: Hand infections are relatively common problems. Seemingly minor in-juries can sometimes lead to significant infections. Proper treatment isvital to prevent long-term disability. Cellulitis vs. Abscess Cellulitis is a diffuse infection of the soft tissues. No localized area of pus can be drained. The affected area is described as indur