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| MRD / Regn No. |
: 20170000103 |
Date |
: 09/06/2026 |
| Patient Name |
: Vijaya Ranjan |
Age & Gender |
: 43 Yrs. / Female |
| Contact No. |
: 9600228085 |
UHID |
: |
| Ht / Wt / BMI |
: 149.5 / 62.2 / 27.83 |
BP S / BP D |
: 92 / 75 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
ADRENAL INSUFFICIENCY (01/Jan/2016) | VITAMIN B12 DEFICIENCY (14/Jan/2020) | AUTOIMMUNE POLYGLANDULAR FAILURE (19/Feb/2022) | TYPE 2 DM (28/Jan/2026) | |
|
Subjective |
: |
HAS SOME GI INTOLERANCE WITH IMG,KNEE PAIN RESOLVED,ALLERGIC DIATHESIS SUPPRESSED WITH ALLEGRA,WISDOM TOOTH INFECTION,MENSES EARLY |
|
Objective |
: |
NONE |
|
Analysis |
: |
ADRENAL INSUFFICIENCY,MILD TSH ELEVATION RESOLVED,VITAMIN B12 DEFICIENCY,VITAMIN D DEFICIENCY,TYPE 2 DM |
|
Plan |
: |
CONTINUE CURRENT MEDICATIONS,MAY PROCEED WITH DENTAL EXTRACTION,SEE ME IN 3 MONTHS WITH TESTING |
|
| Salient Investigations |
: |
BUN BLOOD UREA NITROGEN: 8.5 mg/dL | FASTING PLASMA GLUCOSE (FPG): 89 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6 % | POST PRANDIAL GLUCOSE (2HPP): 125 mg/dL | CREATININE: 0.7 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 97.73 mL/min/1.73m2 | UREA: 18.1 mg/dL | URIC ACID: 3.1 | HEMOGLOBIN: 13.1 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 84.2 fL | PLATELETS: 348 thou cells/ ul | WBC WHITE BLOOD CELLS: 910 K/uL | FREE T3: 2.6 ng/dL | FREE T4 : 1.3 ng/dL | TSH : 3.3 mIU/L | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
METHYCOBALAMIN 1 MG (INJECTION)
RENERVE PLUS 1 MG (INJECTION)
Medicine For VITAMIN B12 DEFICIENCY |
IM |
Q 3 MONTHS |
AS DIRECTED
|
TILL NEXT VISIT |
| TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE ONLY | |
|
2 |
HYDROCORTISONE 10 MG
HISONE 10 MG
Medicine For ADRENAL INSUFFICIENCY |
PO |
2-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| DO NOT STOP HYDROCORTISONE WITHOUT CONSULTING THE DOCTOR IF U ARE ILL DOUBLE THE DOSE AND CALL THE DOCTOR | |
|
3 |
CHOLECALCIFEROL 2000 IU
D RISE 2000 IU
Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| TAKE AT BEDTIME | |
|
4 |
EMPAGLIFLOZIN 10 MG LINAGLIPTIN 5 MG
XILINGO |
|
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE GENITOURINARY INFECTIONS | |
|
| |
|
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|
| Refill :
0 / Substitution: |
|
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| Education |
: |
| Next Visit |
: 07/Sep/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP FUNDUS PHOTOGRAPH ANKLE BRACHIAL INDEX NEUROTOUCH,LIPID PROFILE CBC LFT BUN CR URINE MICROALBUMIN NT PRO BNP |
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