Le métronidazole (Flagyl) reste la référence dans le traitement des infections anaérobies et des parasitoses comme la giardiase ou l’amibiase. Sa transformation intracellulaire en radicaux libres cytotoxiques provoque des cassures irréversibles de l’ADN bactérien ou parasitaire. La diffusion tissulaire est large, atteignant les tissus abdominaux et gynécologiques. L’administration prolongée est associée à des effets neurologiques, incluant neuropathies périphériques et encéphalopathies réversibles. L’association avec l’alcool déclenche une réaction de type antabuse. Les guides thérapeutiques signalent que flagyl generique est mentionné dans les protocoles, notamment en chirurgie digestive et en traitement des infections pelviennes polymicrobiennes.
Microsoft word - health history 2010 - edited .doc
PATIENT MEDICAL HISTORY
1. Are you currently being treated by your physician for any medical condition? ____________________ ________________________________________________________________________________ 2. Physician’s Name _________________________________
3 .Please list ALL medications you are currently taking: ______________________________________
_________________________________________________________________________________ 4. Please circle any illness you have ever had: heart valve replacement high blood pressure joint replacement allergies to medicine heart murmur heart trouble infectious hepatitis sinus problems mitral valve prolapse anemia tuberculosis asthma rheumatic fever diabetes epilepsy/seizures AIDS (HIV) psychological glaucoma kidney/liver thyroid Crohn's disease irritable bowel/colitis TMJ/TMD 5. Has a dentist or a physician ever told you that you need to take antibiotics before dental appointments
for a medical condition ? No …. Yes … If yes, have you taken them today? No…. Yes….
What did you take?___________________ How much?____________ 6. Have you had knee, hip or other joint replacement? No… Yes ……. If so, when?_______________ 7. Have you ever taken any diet drugs such as Pondimin (fenfluramine), Redux (dexphenfluramine) or Phen-fen (fenfluramine-phentermine combination)? No… Yes…. If so, when? ___________
Have you seen your physician about this? No… Yes…… If so, when ?___________
8. Do you wear a pacemaker? No…. Yes…. 9. Have you ever had trouble with prolonged bleeding after surgery? No…. Yes…. 10 . Do you take blood thinners such as Plavix (clopidoqrel), Coumadin (warfarin), Asprin ? N o… Yes. 11. Are you currently taking or have you taken bisphophonate medications, such as Actonel, Fosamax or Zometa, within the past 12 years? No…. Yes……. If so, which one? _______________ 12. Please circle any of the medications or substances listed below to which you have had an unusual reaction: Penicillin Clindamycin (Cleocin) Ibuprofen/Advil/Motrin Codeine Latex Aspirin Adrenaline (Epinephrine) Tylenol Sulfa Novocaine Erythromycin Others : please list below
_____________________________________________________________________________
12. Is there any other information that we should be know about your health? Any chronic conditions? ____________________________________________________________________________ 13. Is there any information that you would like to tell us about previous dental appointments? _______________________________________________________________________________ I certify that the above information is correct to the best of my knowledge. I understand that providing incorrect information can be dangerous to my health. I will not hold Endodontic Associates, LTD or any members of their dental team responsible for errors or omissions that I have made in completion of this form It is my responsibility to notify my dentist of any changes in the above medical status. Patient or Responsible Party Signature:____________________________________________ Date:______________________ Attending Doctor:_______________________________
ALTIUS PEAK PLUS QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN UTPPQ100 4000-B-R0_0_0-C100 NSB Nebo School District Participating Non-Participating September 1, 2012 Providers Providers DEDUCTIBLE, OUT-OF-POCKET & LIMITS Plan Year Deductible – (Individual / Family) Deductible applies to Out- of-Pocket Maximum. Cumulative across benefit levels. Out-of-Pocket M
Patient Instructions for Allergy Testing 3450 East Fletcher Avenue, Tampa, FL 33613, (813) 972-3353 If you are scheduled for skin testing, please wear a sleeveless shirt since testing is performed on the arms and sometimes on the back. If you are having an oral challenge test, please do not eat anything at least 1 hour prior to testing. Do not take antihistamines for 7 days and antidepressa