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| MRD / Regn No. |
: 20260000530 |
Date |
: 08/06/2026 |
| Patient Name |
: Umarani Yuvaraj |
Age & Gender |
: 60 Yrs. / Female |
| Contact No. |
: 9841653059 |
UHID |
: |
| Ht / Wt / BMI |
: 144 / 79.4 / 38.29 |
BP S / BP D |
: 128 / 81 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (08/Jun/2026) | OBESITY (08/Jun/2026) | DEPRESSION (08/Jun/2026) | |
|
Subjective |
: |
HYPOTHYROIDISM ON 100 MCG FOR 10 YEARS
|
|
Objective |
: |
NONE |
|
Analysis |
: |
HYPOTHYROIDISM OVER REPLACED,TYPE 2 DM,OBESITY,DEPRESSION |
|
Plan |
: |
START TIRZEDPATIDE,SEE ME IN 1 MONTH |
|
| Salient Investigations |
: |
BUN BLOOD UREA NITROGEN: 11.6 mg/dL | FASTING PLASMA GLUCOSE (FPG): 105 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.5 % | POST PRANDIAL GLUCOSE (2HPP): 114 mg/dL | HEMOGLOBIN: 12.7 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 75.9 fL | PLATELETS: 226 thou cells/ ul | TIBC: 334 mcg/dL | VITAMIN B12: 548 pg/mL | WBC WHITE BLOOD CELLS: 720 K/uL | HIGH SENSITIVE C REACTIVE PROTEIN: 5.8 mg/L | CRP C REACTIVE PROTEIN: 6.2 mg/dL | VITAMIN D (25 OH): 24.7 ng/mL | CREATININE: 0.6 mg/dL | UREA: 24.8 mg/dL | URIC ACID: 3.7 | ALBUMIN (SERUM): 4.4 g/dL | ALKALINE PHOSPHOTASE: 116 IU/L | DIRECT BILIRUBIN: 0.2 mg/dl | SGOT (AST): 15 U/L | SGPT (ALT): 25 IU/L | TOTAL BILIRUBIN: 0.7 mg/dL | BICARBONATE: 24.3 meq/L | CHLORIDE: 101 meq/L | POTASSIUM: 4.7 meQ/L | SODIUM: 140 meq/L | HDL HIGH DENSITY LIPOPROTEIN: 43 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 162 mg/dL | TGL TRIGLYCERIDE: 155 mg/dL | TOTAL CHOLESTEROL: 236 mg/dl | FSH FOLLICLE STIMULATING HORMONE (FEMALE): 29.4 mIU/mL | FREE T3: 3 ng/dL | FREE T4 : 1.6 ng/dL | TSH : 0.01 mIU/L | BUN BLOOD UREA NITROGEN: 11.6 mg/dL | FASTING PLASMA GLUCOSE (FPG): 105 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.5 % | POST PRANDIAL GLUCOSE (2HPP): 114 mg/dL | HEMOGLOBIN: 12.7 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 75.9 fL | PLATELETS: 226 thou cells/ ul | TIBC: 334 mcg/dL | VITAMIN B12: 548 pg/mL | WBC WHITE BLOOD CELLS: 720 K/uL | HIGH SENSITIVE C REACTIVE PROTEIN: 5.8 mg/L | CRP C REACTIVE PROTEIN: 6.2 mg/dL | VITAMIN D (25 OH): 24.7 ng/mL | CREATININE: 0.6 mg/dL | UREA: 24.8 mg/dL | URIC ACID: 3.7 | ALBUMIN (SERUM): 4.4 g/dL | ALKALINE PHOSPHOTASE: 116 IU/L | DIRECT BILIRUBIN: 0.2 mg/dl | SGOT (AST): 15 U/L | SGPT (ALT): 25 IU/L | TOTAL BILIRUBIN: 0.7 mg/dL | BICARBONATE: 24.3 meq/L | CHLORIDE: 101 meq/L | POTASSIUM: 4.7 meQ/L | SODIUM: 140 meq/L | HDL HIGH DENSITY LIPOPROTEIN: 43 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 162 mg/dL | TGL TRIGLYCERIDE: 155 mg/dL | TOTAL CHOLESTEROL: 236 mg/dl | FSH FOLLICLE STIMULATING HORMONE (FEMALE): 29.4 mIU/mL | FREE T3: 3 ng/dL | FREE T4 : 1.6 ng/dL | TSH : 0.01 mIU/L | EGFR EGLOMERULAR FILTRATION RATE: 109.25 mL/min/1.73m2 | FIB4: 0.80 | EGFR EGLOMERULAR FILTRATION RATE: 109.25 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 109.25 mL/min/1.73m2 | FIB4: 0.80 | FIB4: 0.80 | FUNDUS GLAUCOMA: NDR | FUNDUS MACULAR DEGENERATION: NAD | FUNDUS PHOTOGRAPH: VCDR | OCULAR PRESSURE LEFT: 0.6 mmHg | OCULAR PRESSURE R: 0.7 mm HG |
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|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TABLET THYROXINE 88 MCG
THYRONORM 88 MCG
Medicine For LOW THYROID |
PO |
1-0-0 |
EMPTY STOMACH
|
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B... | |
|
2 |
INJECTION TIRZEPATIDE 2.5 MG
YURPEAK
Medicine For DIABETES OBESITY WEIGHT LOSS |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
|
| MAY CAUSE NAUSEA VOMITING OR DIARREHA | |
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| Refill :
0 / Substitution: |
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| Education |
: AVOID CONJEE SWEETS CHOCOLATES AND SIMPLE SUGARS OF ANY KIND,AVOID OR REDUCE RESTAURANT FOOD,AVOID PROCESSED FOOD,EXERCISE 150 MINUTES PER WEEK,REDUCE CARBOHYDRATE BY 20%,REDUCE SEDENTARY TIME |
| Next Visit |
: 09/Jun/2026 |
| Tests Suggested For Next Visit |
: |
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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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