Kamagra enthält Sildenafilcitrat als pharmakologisch aktiven Bestandteil. Dieser hemmt selektiv die Phosphodiesterase-5 und erhöht dadurch die Konzentration von cGMP im Corpus cavernosum. Der Effekt ist zeitlich begrenzt, da die Halbwertszeit von Sildenafil etwa vier Stunden beträgt. In der galenischen Form als Mundgel erfolgt die Resorption besonders rasch, was zu einem schnelleren Wirkeintritt führt. Der Abbau erfolgt überwiegend hepatisch über CYP3A4, wobei ein aktiver Metabolit entsteht, der zur Gesamtwirkung beiträgt. Typische Nebenwirkungen ergeben sich aus der Vasodilatation, darunter leichte Kopfschmerzen und nasale Kongestion. In klinischen Beschreibungen wird kamagra oral jelly im Zusammenhang mit der schnelleren Absorption erwähnt.
Microsoft word - janedoesample.doc
DOB: 03/06/**** Current Dr.: Dr. *** Symptoms/Issue(s): Daily Pressure/Pain behind breastbone into mid back, pressure in
esophagus, bloating, nausea, and pain causing her to bend forward.
Date When Symptoms Started: 03/01/2008
Prior Diagnosis: IBS, Esophageal spasms, GERD, pulled muscle in the back, costal
chondritis, Posture, General Pain, Nerve Receptors, Gallbladder, and Sphincter of ODDI.
Procedures Performed from 3/01/2008 to 4/15/2009: Full laparoscopic hysterectomy,
Upper and lower GI, 3 and 9 probe esophageal manometry, Barium CT scan, Various
blood work, Stress test, Echo cardiogram, Anorectal manometry, Abdominal scan, Spine
X-Ray, MRI for the back, Physical exam, Gallbladder removal, Barium enema,
Colonoscopy, Gastric Emptying, EKG, Endoscopic ultrasound, MRCP, and
Dr.’s Seen/Consulted (Approximate Dates = See Records) 03/01/2008: Dr. **** (GI located at ***)
Performed Upper GI Scope, diagnosed as IBS, said live with it because he’s out
04/01/2008: Dr. **** (GI located at ***)
3 Probe esophageal manometry diagnosed her with possible GERD and/or
esophageal spasms, referred us to Mayo Clinic.
05/01/2008: Dr. **** (Internal Medicine located at ***) 10/01/2008: Dr. **** (GI located at ***)
Barium CT Scan, blood work, and said to continue Mayo Clinic.
11/01/2008: Dr. **** (GI located at ***)
9 probe esophageal manometry, blood work (Thyroid), stress test, echo
cardiogram, and anorectal manometry. 1st visit was diagnosed as esophageal
spasms, 2nd visit was costal chondritis. Various meds prescribed.
01/01/2009: Dr. **** (GI located at ***)
Blood work, abdominal scan, and prescribed Cymbalta.
01/01/2009: Dr. **** (Sports Medicine (GI located at ***)
Order Back/Spine X-Rays, MRI, then referred us to Dr. **** and Dr. ****.
01/01/2009: Dr. **** (Internal Medicine located at ***)
Physical exam, prescribed Syrica and anti-flam medication, was diagnosed as
3/01/2009: Dr. **** (General Surgeon - ****)
Removed gallbladder, barium enema, blood work, colonoscopy, upper scope, and
reviewed case in detail. Referred to **** GI for ERCP (Bile duct to Pancreas. He
believes Sphincter of ODDI is causing this problem.
3/23/2009: Dr. **** (GI located at ***)
Gastric Emptying, otherwise was completely useless.
4/14/2009: Dr. **** (Internal Medicine located at ***)
Pre-Op exam, chest x-ray, blood work, and EKG
Latest Update 4/21/2009: Dr. **** (GI/SOD Dr. **** (Internal Medicine located at ***)
Endoscopic ultrasound, MRCP, and a sphincertomy including 2 stints in main
Prior Surgeries:
• Laparoscopic Hysterectomy on Jan 2007 (Ovaries Remain)
Procedures:
• Upper GI Scope (Performed at ****** and on 00/00/0000)
• Lower GI Scope (Performed at ****** and on 00/00/0000)
• 3 Probe Manometry (Performed at ****** and on 00/00/0000)
• 9 Probe Manometry (Performed at ****** and on 00/00/0000)
• Various blood work (Performed at ****** and on 00/00/0000)
• Stress Test (Performed at ****** and on 00/00/0000)
• Echo Cardiogram (Performed at ****** and on 00/00/0000)
• CT Scan with Barium (Performed at ****** and on 00/00/0000)
• Colonoscopy (Performed at ****** and on 00/00/0000)
• Lower Abdominal Scan (Performed at ****** and on 00/00/0000)
• Ultrasound and MRI of back (Performed at ****** and on 00/00/0000)
• Barium Enema (Performed at ****** and on 00/00/0000)
• Anorectal Manometry (Performed at ****** and on 00/00/0000)
• Endoscopic Ultrasound x 2 (Performed at ****** and on 00/00/0000)
• Chest X-Ray (Performed at ****** and on 00/00/0000)
• EKG (Performed at ****** and on 00/00/0000)
• MRCP (Performed at ****** and on 00/00/0000)
• Sphincterotmy (Performed at ****** and on 00/00/0000)
Medicines Prescribed and Taken:
• Pepcid, Peptol-Bismol. Alka-Seltzer, Maalox, Mylanta (over-the-counter
Current Medications: Pain reliever as needed
Mötesprotokoll HAFF Styrelsemöte Tid : Onsdagen den 11 december 2013 kl 18:00-19:30 Plats : Fritids Vindkulla Närvarande : Örjan Liebendörfer (rektor), Cia Håkansson (ordf, förälder klass 3), Pär Ekelöw (förälder klass 3 och 5 och Solvindens lekskola), Per Kristav (förälder klass 3) Elisabet Andersson (förälder klass 1), Olivia Gatte (fd elev har gått ut 9:an vt10), Kat
Constantin Carathéodory: His life and work By Christine Phili National Technical University of Athens An International journey A greek of the diaspora – descendant from a family of erudites, phizicians and diplomats, well – educated, with many intellectual inferents – Constantin Carathéodory was born on 13 September of 1873 in Berlin where his father Stephanos represented