La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.

Missionvalleyacu.com

ORIENTAL MEDICAL HISTORY
Please help us provide you with a complete evaluation by taking the time to fill out this questionnaire carefully. All of your answers will be held absolutely confidential. If you have any questions, please ask. NAME_______________________________EMAIL________________Date_________ HOME PHONE_______________ CELL_______________WORK_________________ ADDRESS_______________________________City________State____Zip_________ DATE OF BIRTH_____________AGE_______ HEIGHT_________WEIGHT_________ MARITAL STATUS_________# OF CHILDREN & AGES_________________________ OCCUPATION______________________________________SSN_________________ EMPLOYER_____________________________________________________________ INSURANCE CO.___________________________________________________________________ MEMBER ID___________________________PHONE #_________________________ NAME POLICY IS UNDER________________________GROUP # ________________ WHOM MAY WE THANK FOR REFERRING YOU?_____________________________ HAVE YOU EVER HAD ACUPUNCTURE OR ORIENTAL MEDICINE TREATMENT BEFORE?_________ IN CASE OF EMERGENCY CONTACT_______________________________________ ADDRESS_____________________________________PHONE___________________ CHIEF COMPLAINT (please describe in your own words what you experience)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Diagnosis by an MD? What?__________________________________________________________
When did this problem begin?_________________________________________________________
Characteristics?_________________________________How often?__________________________
What makes it feel better?______________________Worse?________________________________
What other forms of treatment have you sought?___________________________________________
List any other health problems you now have______________________________________________
List any allergies, food sensitivities or food cravings you have
_________________________________________________________________________________
Have you had your tonsils removed?_________Appendix?_________Gall Bladder?_________ Have you had oral surgery?_____Please list___________________________________________________ Have you ever taken antibiotics for more than 10 days?_____When and for what?_____________________ Do you have a pacemaker?_____Taking Coumadin/Warfarin?______ Lithium (Eskalith, Lithobid, Lithonate, Lithotabs?_________ Have you ever had chemotherapy?_______When?______Radiation Therapy?___ _When?_____________ Are you current under the care of a physician or a therapist?_________________ What are you being treated for?____________________________________________________________ Have you recently had any unusually stressful experiences (i.e. divorce, death of someone close, bankruptcy, loss of job, illness, injury, etc)? Please list:____________________________________________________ What type of exercise do you get and how often?_______________________________________________ Please describe your average daily diet:

Morning_______________________________________________________________________________
Afternoon______________________________________________________________________________
Evening________________________________________________________________________________
Snacks_________________________________________________________________________________
Please list any dietary restrictions____________________________________________________________
How much of the following do you drink per day? Coffee (cups)_______ Tea (cups) _______
Water (oz)_____Soft Drinks (cans)_____Wine (glass)_____Beer (oz)_____Liquor (oz)_____
Hospitalizations/Surgeries (Please include dates):________________________________________________
________________________________________________________________________________________
Please list all current medications. You may use the back of this sheet:
Medicine
How long?
________________________________________________________________________________________ Have you ever been alcohol or drug dependent? When?___________________________________ How much tobacco do you use per day?____________Marijuana?___________Other____________ Family Medical History Please check the diseases which other members of your family had:
__Cancer_________Who?
Disease________Who? __Asthma___________Who? __Alcoholism___________Who? __Stroke____________Who? __Hypertension_________Who? ________________Other
Which of the following diseases have you had?
SYMPTOM SURVEY
The following is a list of symptoms that you may or may not experience. Please indicate as follows:
leave blank if never experience check mark (a) if sometimes experience plus sign (+) if always experience
__difficulty digesting oily foods __nightmares __laughing for no apparent __increased sex drive __feeling retention of food in __dry eyes __difficulty in making plans or __prefer hot drinks __spasms or twitching of __thyroid disorders __intolerance to weather __irritability or easily angered MUSCULOSKELETAL
Pain or numbness in any of the following areas - if pain, please rate levels using a scale from 0-10, 0 is the
least and 10 is the worst.
___neck
Heat_____Cold_____Damp______Weather______Wind_____Medications_____Pressure____
What aggravates your pain/condition?
Heat_____Cold_____Damp______Weather______Wind_____Medications_____Pressure____
FOR WOMEN

Age of 1st period(menarche)_____________
Are you pregnant?______Trying?____________ Age of last period(menopause)___________ # of pregnancies______miscarriages_________ # of live births_____# of abortions____________ Date of last obgyn exam + results_____________ Avg # of pads per day 1st day____ 2nd day___ Bone Density Scan_______________________ 3rd day____4th day____5th day____+days___ __discharge____vaginal dryness_____headache ___nausea____constipation_____swollen breasts ___diarrhea___ravenous appetite___insomnia cramping__________stabbing_______________ ___hot flashes___poor appetite____libido burning___________aching_________________ dull______________bloating________________ consistent_________intermittent____________ Have you been diagnosed with (include year): _______fibroids_______endometriosis_______PID ________Ovarian cysts_______fibrocystic breasts FOR MEN
Date of last prostate exam__________PSA results__________Manual prostate exam results______________
Frequency of urination: daytime________nighttime________color of urine_________odor_______________
Symptoms related to prostate:
___prostate problems___delayed stream___dribbling___incontinence___retention of urine___impotence
___groin pain___testicular pain___premature ejaculation___back pain___5libido___6libido___rectal dysfunction Other___________________________________________________________________________________ ________________________________________________________________________________________

Source: http://www.missionvalleyacu.com/pdfs/newestintakeform.pdf