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| 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 | |
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| |
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|
|
| Refill :
0 / Substitution: |
|
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| Education |
: |
| Next Visit |
: 04/Jul/2026 |
| Tests Suggested For Next Visit |
: NONE |
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| |
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Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu /
48748 HPRID: 71-0638-2075-7542
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