Tadalafil gehört zur Gruppe der PDE5-Hemmer und wirkt über eine hochselektive Blockade des Enzyms Phosphodiesterase Typ 5. Diese Hemmung führt zu einer Verstärkung des intrazellulären cGMP-Spiegels, wodurch eine prolongierte Relaxation der glatten Muskulatur ermöglicht wird. Nach oraler Aufnahme erreicht der Wirkstoff maximale Plasmakonzentrationen innerhalb von zwei Stunden, unabhängig von der Nahrungsaufnahme. Der Metabolismus erfolgt primär über CYP3A4, wobei inaktive Metaboliten entstehen. Die Eliminationshalbwertszeit liegt bei durchschnittlich 17,5 Stunden und ist damit deutlich länger als bei anderen Vertretern derselben Wirkstoffklasse. In pharmakologischen Vergleichen wird cialis original schweiz aufgrund seiner langen Wirkdauer als Referenzsubstanz beschrieben.
Allergies to medications/food/environment
Desert West Obstetrics and Gynecology, Ltd.
Name ________________________________ Birthdate_________ Age _____ Date____________
Allergies to medications/food/environment Reaction Current Medications Instructions Reason Used
(Prescription, over the counter, herbal)
Prescribing Doctor
What do you do so you don't become pregnant? ____ Diaphragm
____ Other ___________________________________________________________________ First day of last period_________________________________ What age were you when you started your first period? ______________ Are your periods regular? ____________________ Is there bleeding between periods? ____________ How often do your cycles occur? ___________________________ For how many days do you bleed? __________________________ Flow is: ______ scant ______ mild ______ mod ______ severe ______ incapacitating Other symptoms with periods? ______________________________________________________________ _______________________________________________________________________________________ Date of last pap smear ___________________________________
How? ________________________________________________________________________
When was your last Mammogram (if any)? ___________________ Result ___________________________ Do you have concerns about your breasts? ____________________________________________________ When was your last Bone Density (if any)? ___________________ Result ___________________________
Past Medical / Surgical History(Include injuries and conditions requiring medication -i.e. -high blood pressure, seizures, diabetes, etc) Condition/Disease Treatment
Desert West Obstetrics and Gynecology, Ltd.
Name ________________________________ Birthdate_________ Age _____ Date____________ Have you had:
Total number of pregnancies Cesarean Premature Delivery Miscarriage Abortion Stillborn Pregnancy Details Number of Delivery Obstetrical/Neonatal Problems Delivery Doctor Family History
Please complete if any of your close relatives have had any of the following:
Family Members 1st Cause of Death Family Member (Circle)
Desert West Obstetrics and Gynecology, Ltd.
Name ________________________________ Birthdate_________ Age _____ Date____________ Social History Primary Language Spoken____________________________________
Do you smoke? No_____ Yes_____ If yes, type of tobacco?_______________ Number of years_____ Pks/day_____ Do you drink alcohol? No_____ Yes_____ If yes, type of alcohol____________________________________________ How often?__________________________ Amount______________________ Last drink________________________ Do you consume caffeine? No_____ Yes_____ If yes, what kind?_______________ Amount_____________________ Do you use recreational drugs? No_____ Yes_____ If yes, what kind?_______________________________________ Exercise frequency? Daily_____ Never_____ Occasional_____ 2-3times/wk_____ 4 or more times/wk_____ How many sexual partners do you have? None_____ One_____ 2-5_____ 5+_____ Have you been exposed to sexual or physical violence or abuse?
Are there animals in the home? No_____ Yes_____ If yes, what kind?_______________________________________ Is the patient the individual who cleans up after the animals?
If medically necessary, would you agree to a transfusion?
REVIEW OF SYSTEMS
If you are experiencing any of the symptoms listed, PLEASE CIRCLE THE ONES THAT APPLY, or write NONE. Constitutional (Health in General): Fatigue, fever, night sweats Ears, Nose, Mouth and Throat: Eye discharge, vision loss, ear drainage, hearing loss, nasal drainage Respiratory: Cough, wheezing, difficulty breathing or shortness of breath Cardiovascular: Chest pain, irregular heartbeat, palpitations Gastrointestinal: Abdominal pain, constipation, diarrhea, vomiting Genitourinary: Painful periods, pain with urination, blood in urine, excessive menstrual bleeding, vaginal discharge Neurologic/Psychiatric: Walking or balance difficulties, depression, anxiety, mood swings Dermatologic: Skin itching, rash Musculoskeletal: Bone weakness, joint weakness Hematology: Easy bleeding, easy bruising Immunology: Environmental allergies, food allergies
Financial Disclosure For: Paul W. Armstrong, University Professor, University of Alberta, Edmonton, Alberta ** Updated: Monetary amounts are on an annual basis Company/(Companies): Period of Name of Project 1) A research 2) A research 3) Educational 4) Consulting or 5) I receive Comments activities or other services for significant equi
ANTIMICROBIAL SUSCEPTIBILITY – PENICILLIN RESISTANT VIRIDANS STREPTOCOCCI This specimen was a simulated blood culture to be processed by aerobic organism culture for identification and by routine antimicrobial susceptibility testing. The organism (viridans group streptococcus, S. mitis / oralis ) was highly resistant to β-lactam antimicrobial agents (penicillins and cephalosp