MRD / Regn No. : 20160705009 Date : 09/06/2026
Patient Name : Selvakumar Meghanathan Age & Gender : 63 Yrs. / Male
Contact No. : 9444904687 UHID :
Ht / Wt / BMI : 165 / 73.3 / 26.92 BP S / BP D : 157 / 94
Allergies : NKA Referred By :
   
Problem List : HYPERTENSION (01/Jan/0108) | HYPOPITUITARISM (01/Jan/2008) | SMOKING (08/Jun/1981) | PREDIABETES (27/Mar/2023) | DYSLIPIDEMIA (29/Dec/2023) |
Subjective : ALLERGIES BETTER,NO NEW COMPLAINTS,OFF SMOKING FOR 1 YEAR,NOCTURNAL BRADYCARDIA WITH DIZZINESS,VERTIGO RESOLVED
Objective : NONE
Analysis : ALLERGIC RHINITIS STABLE,HYPOPITUITARISM,HYPERTENSION,SMOKING,GRADE 1 DIASTOLIC DYSFUNCTION,DYSLIPIDEMIA,NO EVIDENCE OF POSTURAL HYPOTENSION,DIABETES MELLITUS,ANEMIA
Plan : GET IRON AND VITAMIN B12,REVIEW WITH RESULTS  
Salient Investigations : BUN BLOOD UREA NITROGEN: 18.2 mg/dL | CREATININE: 1.2 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 65.04 mL/min/1.73m2 | HEMOGLOBIN: 12.7 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 84.7 fL | PLATELETS: 208 thou cells/ ul | WBC WHITE BLOOD CELLS: 861 K/uL | FASTING PLASMA GLUCOSE (FPG): 124 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.3 % | POST PRANDIAL GLUCOSE (2HPP): 169 mg/dL | HDL HIGH DENSITY LIPOPROTEIN: 43 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 62 mg/dL | TGL TRIGLYCERIDE: 106 mg/dL | TOTAL CHOLESTEROL: 126 mg/dl | ALBUMIN (SERUM): 4.1 g/dL | ALKALINE PHOSPHOTASE: 77 IU/L | DIRECT BILIRUBIN: 0.3 mg/dl | SGOT (AST): 15 U/L | SGPT (ALT): 20 IU/L | FIB4: 1.02 | TOTAL BILIRUBIN: 0.7 mg/dL | FREE T4 : 1.4 ng/dL | TSH : 3.5 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 THYROXINE 112 MCG
THYRONORM 112 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 HYDROCORTISONE 20 MG
HISONE 20 MG
Medicine For LOW ADRENAL 		PO 1-0-0 AFTER FOOD
 TILL NEXT VISIT
DO NOT STOP HYDROCORTISONE DOUBLE THE DOSE DURING MINOR ILLNESS
3 RAMIPRIL + HCTZ 5/12.5 MG
CARDACE H 5 MG
Medicine For HYPERTENSION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
TAKE AT BEDTIME. REPORT TO DOCTOR IF YOU HAVE DRY COUGH
4 SPRAY FLUTICASONE PROPIONATE 50 MCG AZELASTINE 140 MCG
DUONASE NASAL SPRAY
Medicine For ALLERGIC RHINITIS 		INHALATION TWICE DAILY TWO PUFFS IN EACH NOSTRIL TWICE DAILY
5 ROSUVASTATIN 10 MG
ROSEDAY 10 MG
Medicine For CHOLESTEROL 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY CAUSE FATIGUE AND MUSCLE PAIN
6 INJ TESTOSTERONE ENANTHATE 100 MG
TESTOVIRON 100 MG 		EVERY MONTH TO BE ADMINISTERED BY A HCP ONLY
 3 MONTHS
7 CAPSULE DILTIAZEM ER 120 MG
ANGIZEM CD 120 MG ER
Medicine For HYPERTENSION 		PO 0-0-1 BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE HEADACHE CONSTIPATION DIZZINESS FLUSHING
8 TABLET CHLORTHALIDONE 6.25 MG
CTD 6.25 MG
Medicine For HYPERTENSION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
9 SGLT2I EMPAGLIFLOZIN 10 MG
JARDIANCE
Medicine For DIABETES OBESITY HEART AND KIDNEY PROTECTION 		PO 1-0-0 BEFORE FOOD
 TILL NEXT VISIT
MAY CAUSE GENITOURINARY INFECTIONS
       
Refill : 0 / Substitution:    
Education :
Next Visit : 11/Jun/2026
Tests Suggested For Next Visit : FERRITIN VITAMIN B12 STOOL OCCULT BLOOD
   
   

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

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