|
|
| MRD / Regn No. |
: 20250000037 |
Date |
: 09/06/2026 |
| Patient Name |
: Vijayalakshmi Ramesh |
Age & Gender |
: 43 Yrs. / Female |
| Contact No. |
: 9840359655 |
UHID |
: |
| Ht / Wt / BMI |
: 160.5 / 75.0 / 29.11 |
BP S / BP D |
: 92 / 67 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
OBESITY (17/Jan/2021) | HYPOTHYROIDISM (17/Jan/2015) | VITAMIN D INSUFFICIENCY (17/Jan/2025) | PERIMENOPAUSAL SYNDROME (11/Nov/2025) | |
|
Subjective |
: |
HYPOTHYROIDISM ON 75 MCG,HYPOTHYROIDISM FOR 10 YEARS,MYALGIAS,UNABLE TO TOLERATE SEMAGLUTIDE AT 1.7 MG
|
|
Objective |
: |
NO THYROMEGALY |
|
Analysis |
: |
HYPOTHYROIDISM,OBESITY,VITAMIN D INSUFFICEINCY,EARLY MENOPAUSE,PERIMENOPAUSAL SYMPTOMS |
|
Plan |
: |
INCREASE SEMBOLIC TO 1.5 MG,SEE ME IN 2 MONTHS WITH TESTING |
|
| Salient Investigations |
: |
FREE T3: 2.6 ng/dL | FREE T4 : 0.9 ng/dL | TSH : 2.7 mIU/L |
|
|
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
ఖాళీ కడుపుతో |
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B... | |
|
2 |
CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
నిద్రవేళ వద్ద |
TILL NEXT VISIT |
|
|
3 |
TABLET CALCIUM CARBONATE 1250 MG VITAMIN D3 250 IU
SHELCAL 500 MG
Medicine For CALCIUM |
PO |
0-0-1 |
AT BEDTIME
నిద్రవేళ వద్ద |
TILL NEXT VISIT |
| CALCIUM MAY CAUSE CONSTIPATION | |
|
4 |
INJECTION SEMAGLUTIDE
SEMBOLIC 1.5 MG
Medicine For DIABETES OBESTIY |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
|
| MAY CAUSE NAUSEA VOMITING VISUAL DISTURBANCE | |
|
5 |
SODIUM PICOSULFATE 10 MG
CREMLAX 10 MG |
|
0-0-1 |
BEFORE FOOD
ఆహారం ముందు |
TILL NEXT VISIT |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 08/Aug/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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