|
|
| MRD / Regn No. |
: 20200000802 |
Date |
: 30/06/2026 |
| Patient Name |
: Vijayalakshmi Sriram |
Age & Gender |
: 72 Yrs. / Female |
| Contact No. |
: 9551691166 |
UHID |
: |
| Ht / Wt / BMI |
: 157.8 / 75.7 / 30.40 |
BP S / BP D |
: 115 / 66 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (01/Jan/1980) | BREAST CANCER (01/Jan/2018) | VITAMIN D INSUFFICIENCY (08/Feb/2021) | IRRITABLE BOWEL SYNDROME (01/Jan/2000) | DISTAL SENSORY NEUROPATHY (15/Jul/2022) | NAFLD (19/Aug/2022) | VARICOSE VEINS (01/Feb/2023) | DYSLIPIDEMIA (16/Oct/2000) | ATHEROSCLEROTIC CARDIOVASCULAR DISEASE (26/Feb/2024) | URINARY TRACT INFECTION (24/Feb/2026) | |
|
Subjective |
: |
NO NEW COMPLAINTS,DYSESTHESIAS,BACK PAIN WITH SCIATICA,HAD UTI |
|
Objective |
: |
ACR TIRADS 2 BETHESDA 2 LESION |
|
Analysis |
: |
DISTAL SENSORY NEUROPATHY,NAFLD S1F0,TYPE 2 DM STABLE,VITAMIN D INSUFFICIENCY,DYSLIPIDEMIA,HAD POSTURAL DIZZINESS,ACR TIRADS 3 NODULE WITH 19% INCREASE IN VOLUME |
|
Plan |
: |
CONTINUE CURRENT MEDICATIONS,SEE ME IN 1 MONTH |
|
| Salient Investigations |
: |
VITAMIN B12: 293 pg/mL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 7.4 % | CORTISOL (AM): 18.9 Ug/dl | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
MULTIVITAMIN
RICONIA
Medicine For VITAMIN |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE YELLOW DISCOLORATION OF URINE | |
|
2 |
TABLET ROSUVASTATIN 20 MG
ROSEDAY
Medicine For CHOLESTEROL |
PO |
0-0-1 |
AT BEDTIME
|
|
| MAY CAUSE FATIGUE AND MUSCLE PAIN | |
|
3 |
TABLET PREGABALIN SR 75 MG
PREGALIN SR 75 MG
Medicine For NEUROPATHY |
|
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
4 |
TELMISARTAN 40 MG
ERITEL 40 MG |
|
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE HIGH POTASSIUM | |
|
5 |
INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES |
SQ |
0-12-0 UNITS |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
6 |
INJECTION SEMAGLUTIDE 0.5 MG
SEMALIX 0.5
Medicine For DIABETES OBESITY HEART KIDNEY PROTECTION |
SQ |
EVERY WEEK |
AS DIRECTED NO RELATION TO FOOD
|
|
| MAY CAUSE NAUSEA CONSTIPATION OR VISUAL DISTURBANCE | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 30/Jul/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPPP |
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