MRD / Regn No. : 20200000319 Date : 04/06/2026
Patient Name : Anitha Srikumar Age & Gender : 55 Yrs. / Female
Contact No. : 9941720485 UHID :
Ht / Wt / BMI : 157 / 72.4 / 29.37 BP S / BP D : 164 / 96
Allergies : NKA Referred By :
   
Problem List : HYPOTHYROIDISM, UNSPECIFIED (01/Jan/2008) | VITAMIN D DEFICIENCY (07/Jul/2020) | HYPERTENSION (07/Jun/2022) | HYPOTHYROIDISM (07/Jun/2000) | TYPE 2 DM (19/May/2023) | OSTEOPOROSIS WITH FRACTURE (13/Jun/2024) | DYSLIPIDEMIA (08/Jul/2025) |
Subjective : NO NEW COMPLAINTS,MUSCLE PAIN SINCE START OF ROSEDAY,KNEE AND CALF PAIN
Objective : NONE
Analysis : VITAMIND D DEFICIENCY,HYPERTENSION,TYPE 2 DM,HYPOTHYROIDISM EUTHYROID ON MEDICATIONS,RECENT FRACTURE,OSTEOPOROSIS,INCREASED FIB4 / NAFLD SCORE,DYSLIPIDEMIA,S1F0 NAFLD,ANA SPECKLED POSITIVE,STARTED ON DMARD,BMD IMPROVED,HAS COMPLETED 24 MONTHS OF TERIPERATIDE
Plan : CONTINUE CURRENT MEDICATIONS,GIVE SINGLE DOSE OF ZOLEDRONIC ACID,ADD GLP1RA,SEE ME IN 1 MONTH  
Salient Investigations : FASTING PLASMA GLUCOSE (FPG): 115 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.1 % | POST PRANDIAL GLUCOSE (2HPP): 119 mg/dL | FREE T4 : 1.23 ng/dL | TSH : 2.645 mIU/L | DEXA MACHINE: GE - | HIP BMD: 0.787 g/cm2 | HIP T SCORE: -1.8 | SPINE BMD: 0.851 g/cm | SPINE T SCORE: -2.8
S# Generic (Trade) Name Route Dosage Usage Duration
1 THYROXINE 75 MCG
THYRONORM 75 MCG
Medicine For LOW THYROID
PO 1-0-0 EMPTY STOMACH
TILL NEXT VISIT
MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR BREAKFAST MUST BE TAKEN ONLY AFTER 30 MINUTES. OTHER DRUGS CAN INTERFERE WITH THE ABSORPTION OF THYROXINE
2 CHOLECALCIFEROL 2000 IU
D RISE 2000 IU
Medicine For VITAMIN D
PO 0-0-1 AT BEDTIME
TILL NEXT VISIT
TAKE AT BEDTIME
3 DAPAGLIFLOZIN 10 MG
GLUCRETA
Medicine For GLUCOSE CONTROL HEART AND KIDNEY PROTECTION
PO 1-0-0 BEFORE FOOD
TILL NEXT VISIT
MAY CAUSE GENITOURINARY INFECTIONS. KEEP GENITAL AREA CLEAN. IF YOU HAVE GENITAL ITCHING OR BURNING DURING MICTURITION INFORM CLINIC
4 IMEGLIMIN 1000 MG
IMEXTOR
Medicine For GLUCOSE CONTROL
PO 1-0-1 BEFORE FOOD
TILL NEXT VISIT
5 TABLET CALCIUM CARBONATE 1250 MG VITAMIN D3 250 IU
SHELCAL 500 MG
Medicine For CALCIUM
PO 0-1-1 AT BEDTIME
TILL NEXT VISIT
CALCIUM MAY CAUSE CONSTIPATION
6 INJECTION ZOLEDRONIC ACID 5 MG (INJECTION) IN 100 ML NS
ZOLEPHOS 5 MG (INJECTION) IN 100 ML NS
Medicine For OSTEOPOROSIS
IV - TO BE ADMINISTERED IN A HEALTH CARE FACILITY ONLY IN AN IV INFUSION OVER 45 MINUTES
ONCE ONLY
TO BE ADMINISTERED IN A HOSPITAL ONLY. MAY CAUSE FLU LIKE SYNDROME
7 INJECTION SEMAGLUTIDE
SEMALIX 0.25 MG
Medicine For DIABETES OBESITY MASLD CAD
SQ ONCE A WEEK AS DIRECTED NO RELATION TO FOOD
TILL NEXT VISIT
MAY CAUSE NAUSEA VOMITING OR EYE DISTURBANCE
       
Refill : 0 / Substitution:    
Education :
Next Visit : 04/Jul/2026
Tests Suggested For Next Visit : NONE
   
   

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

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