Le sildénafil présent dans Kamagra exerce une inhibition réversible de la PDE5, modulant la cascade GMPc et favorisant une vasodilatation localisée. L’absorption digestive varie selon la forme utilisée, comprimés classiques ou gels oraux. La distribution tissulaire est large et la liaison protéique élevée, avoisinant 96 %. La métabolisation hépatique génère un métabolite actif contribuant à l’effet pharmacologique global. La demi-vie reste courte, avec disparition plasmatique en quelques heures. Les interactions significatives concernent surtout les nitrés organiques et inhibiteurs puissants du CYP3A4. Dans les publications techniques, kamagra en ligne est souvent cité dans le cadre d’analyses comparatives portant sur les différences de formulations et de cinétique d’absorption.

Patient name:____________________________________________________________________

PATIENT NAME:____________________________________________________________________

WHAT IS THE MAIN REASON FOR YOUR CHILD’S VISIT TODAY______________________________
HOW LONG HAS THIS PROBLEM EXISTED________________________________________________
PLEASE MAKE A CHECK MARK BY YOUR CONCERNS

EAR PROBLEMS
NOSE PROBLEMS

THROAT/MOUTH/NECK PROBLEMS
____HOARSENESS/VOICE PROBLEMS ____SPEECH DELAY _____________________________________________________________________________________________
MEDICATIONS: Please list name, strength, how often taken.
CURRENT: ___________________________________________________________________________________
PAST 6 MONTHS: _____________________________________________________________________________

ALLERGIES TO MEDICATIONS: List drug name and reaction (rash, swelling, shock)
_____________________________________________________________________________________________

PREVIOUS TEST PREFORMED:


PAST HOSPITALIZATIONS: List reasons and dates of admission.
_____________________________________________________________________________________________
_____________________________________________________________________________________________ 1 | [Clary/Forsen 022012]


SURGERY HISTORY: List procedure, dates, surgeon.
_____________________________________________________________________________________________ ____________________________________________________________________________________
PLEASE CIRCLE NORMAL IF NO PROBLEMS OR PROVIDE DESCRIPTION OF PROBLEM
FEVER, WEIGHT LOSS
NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________ NORMAL OR DESCRIBE: ____________________
FAMILY HISTORY: Circle all that apply for brothers, sisters, parents, grandparents.
Problems with anesthesia
Other medical problems: ________________
SOCIAL HISTORY: Circle all that apply.
Who is legal custody of child? Both Parents, Mom, Dad, Grandparents, Other.
Child lives with: Both Parents, Mom, Dad, Grandparents, Other family/ relatives, Foster family. Parents are: Married, Not married, Separated, Divorced. Does your child attend: Daycare, Preschool, Grade in School? _______ Number of brother/sisters: ________ Pets in home? Dog____ Cat______ Other __________ Smokers in the house, even if they do not smoke inside? 2 | [Clary/Forsen 022012]

Source: http://entforkids-stl.com/wp-content/uploads/2012/03/Clary-Forsen-New-Patient.pdf