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| MRD / Regn No. |
: 20250000817 |
Date |
: 22/06/2026 |
| Patient Name |
: Sashi Kanta Jain |
Age & Gender |
: 66 Yrs. / Female |
| Contact No. |
: 9425251778 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
DYSTHYROID ORBIOTPATHY (15/Oct/2010) | THYROTOXICOSIS - GRAVE’S DISEASE (15/Oct/2010) | TYPE 2 DM (15/Oct/2005) | AORTIC STENOSIS (15/Oct/2025) | OBESITY (15/Oct/2005) | |
|
Subjective |
: |
TYPE 2 DM FOR 20 YEARS,THYROID DSYFUNCTION FOR 15 YEARS,DYSESTHESIAS |
|
Objective |
: |
NO THYROMEGALY |
|
Analysis |
: |
TYPE 2 DM,THYROTOXICOSIS,DYSTHYROID ORBITOPATHY,DYSLIPIDEMIA,TRAB CLOSE TO NAD,AORTIC STENOSIS,RECENT UTI,SGLT2I INDUCED GU ITCHING |
|
Plan |
: |
GET FIBROSCAN AND REVIEW WITH RESULTS |
|
| Salient Investigations |
: |
VITAMIN B12: 269 pg/mL | VITAMIN D (25 OH): 34.34 ng/mL | IRON: 49.79 mcg/dL | TIBC: 378.49 mcg/dL | HDL HIGH DENSITY LIPOPROTEIN: 49 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 85 mg/dL | TGL TRIGLYCERIDE: 95 mg/dL | TOTAL CHO/HDL RATIO: 3 | TOTAL CHOLESTEROL: 149 mg/dl | VLDL: 19.07 mg/dl | VITAMIN B12: 269 pg/mL | VITAMIN D (25 OH): 34.34 ng/mL | IRON: 49.79 mcg/dL | TIBC: 378.49 mcg/dL | HDL HIGH DENSITY LIPOPROTEIN: 49 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 85 mg/dL | TGL TRIGLYCERIDE: 95 mg/dL | TOTAL CHO/HDL RATIO: 3 | TOTAL CHOLESTEROL: 149 mg/dl | VLDL: 19.07 mg/dl | A\G RATIO: 1.19 g/dl | ALBUMIN (SERUM): 3.85 g/dL | ALKALINE PHOSPHOTASE: 94.69 IU/L | DIRECT BILIRUBIN: 0.1 mg/dl | GAMMA GLUTAMYL TRANSFERASE (GGT): 19.98 U/L | GLOBULIN: 3.23 g/dl | INDIRECT BILIRUBIN: 0.34 | SGOT (AST): 17.87 U/L | SGPT (ALT): 7.25 IU/L | TOTAL BILIRUBIN: 0.44 mg/dL | TOTAL PROTEIN: 7.08 g/dl | BUN BLOOD UREA NITROGEN: 11.15 mg/dL | CREATININE: 0.64 mg/dL | UREA: 23.86 mg/dL | CALCIUM: 8.76 mg/DL | URIC ACID: 4.05 | RANDOM BLOOD SUGAR: 114.06 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 7.2 % | TOTAL T3: 124 | TOTAL T4: 9.84 mcg/dL | TSH : 1.06 mIU/L | EGFR EGLOMERULAR FILTRATION RATE: 99.34 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 99.34 mL/min/1.73m2 | HEMOGLOBIN: 12.1 g/dL | MCH: 26.2 pg | MCHC: 28 gm % | MCV: 93.5 fl | PCV: 43.2 % | PLATELETS: 204 thou cells/ ul | FIB4: 2.15 | RBC COUNT: 4.62 million/ul | TOTAL COUNT WBC: 7.64 Cells/cmm | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION DEGLUDEC (INJ U100)
TRESIBA
Medicine For DIABETES |
SQ |
0-0-24 UNITS |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
2 |
TABLET SITAGLIPTIN 100 MG
JANUVIA 100 MG
Medicine For DIABETES |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
|
|
3 |
PIOGLITAZONE 15 MG
PIOZ 15 MG |
|
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE ANKLE EDEMA AND WORSENING OF HEART FAILURE REPORT IF THERE IS INCREASED SWELLING OR SHORTNESS OF BREATH | |
|
4 |
TABLET IMEGLIMIN SR 1000 MG
IMEGLYN SR
Medicine For GLUCOSE CONTROL |
PO |
1-0-1 |
BEFORE FOOD
|
TILL NEXT VISIT |
|
|
5 |
TABLET PREGABALIN SR 75 MG
PREGALIN SR 75 MG
Medicine For NEUROPATHY |
|
0-0-1 |
AT BEDTIME
|
1 MONTH |
|
|
6 |
CAPSULE MULTIVITAMIN
RICONIA
Medicine For MULTIVITAMIN |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE YELLOW DISCOLORATION OF URINE | |
|
| |
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| Refill :
0 / Substitution: |
|
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| Education |
: CHECK GLUCOSE EVERY 2 DAYS AND IF THE FASTING GLUCOSE IS CONSISTENTLY MORE THAN 90 INCREASE THE INSULIN BY 2 UNITS. THIS IS THE NEW DOSE. REPEAT THIS EVERY TWO DAYS UNTIL THE FASTING IS CONSISTENTLY LESS THAN 90 |
| Next Visit |
: 29/Jun/2026 |
| Tests Suggested For Next Visit |
: FIBROSCAN OF THE LIVER PLEASE REPORT CAP SCORE AND FIBROSIS SCORE |
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