MRD / Regn No. : 20260000131 Date : 04/06/2026
Patient Name : Revathi Tirupathi Age & Gender : 33 Yrs. / Female
Contact No. : 7382020894 UHID :
Ht / Wt / BMI : 158 / 66 / 26.44 BP S / BP D : 110 / 70
Allergies : NKA Referred By :
   
Problem List : DYSTHYROID ORBIOTPATHY (02/Mar/2026) | THYROTOXICOSIS - GRAVE’S DISEASE (02/Mar/2026) |
Subjective : PROPTOSIS,MILD T3 TOXICOSIS,EYE IMPROVED
Objective : NOSPECS 2,FIRM TO HARD DIFFUSE THYROMEGALY WITH MICRONODULAR FEEL
Analysis : GRAVES DISEASE WITH ORBITOPATHY MOST LIKELY,R/O MARINE LEMHART SYNDROME
Plan : DECERASE NMZ TO 10 MG,SEE ME IN 2 MONTHS WITH TESTING  
Salient Investigations : FREE T3: 2.69 ng/dL | FREE T4 : 0.98 ng/dL | TSH : 0.272 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET CARBIMAZOLE 10 MG
NEOMERCAZOLE 10 MG
Medicine For OVERACTIVE THYROID 		PO 1-0-0 AFTER FOOD
 TILL NEXT VISIT
MAY CAUSE A RARE CONDITION CALLED AGRANULOCYTOSI.....
2 CAPSULE SELENIUM 200 MCG
SELENIUM 200 MCG
Medicine For ORBITOPATHY 		PO 1/2 -0-1/2 AFTER FOOD
3 HYDROXYMETHYLCELLULOSE EYEDROPS
EXTRALUBE 		- AS DIRECTED
 TILL NEXT VISIT
       
Refill : 0 / Substitution:    
Education :
Next Visit : 03/Aug/2026
Tests Suggested For Next Visit : FREE T3 FREE T4 TSH
   
   

Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu / 48748 HPRID: 71-0638-2075-7542

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