|
|
| MRD / Regn No. |
: 20260000634 |
Date |
: 07/07/2026 |
| Patient Name |
: Ponnusamy Gopalsamy |
Age & Gender |
: 55 Yrs. / Male |
| Contact No. |
: 7092205825 |
UHID |
: |
| Ht / Wt / BMI |
: 210 / 114 / 25.85 |
BP S / BP D |
: 130 / 70 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
|
Subjective |
: |
HX OF ACROMEGALY,PITUTITARY SURGERY DONE 2008 |
|
Objective |
: |
ACROMEGALIC FEATURES,GYNECOMASTIA |
|
Analysis |
: |
ACROMEGALY,R/O HYPOGONADISM,DM NEWLY DIAGNOSED |
|
Plan |
: |
START HYDROCORTISONE,ADD TESTOSTERONE,SEE ME IN 2 MONTHS WITH TESTING |
|
| Salient Investigations |
: |
VITAMIN D (25 OH): 16.9 ng/mL | FASTING PLASMA GLUCOSE (FPG): 125.7 mg/dL | HDL HIGH DENSITY LIPOPROTEIN: 40.3 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 85.1 mg/dL | TGL TRIGLYCERIDE: 205.3 mg/dL | TOTAL CHO/HDL RATIO: 4.13 | TOTAL CHOLESTEROL: 166.5 mg/dl | VLDL: 41.1 mg/dl | FREE T3: 2.96 ng/dL | FREE T4 : 1.17 ng/dL | TSH : 2.11 mIU/L | FSH FOLLICULE STIMULATING HORMONE (MALE): 14.27 mIU/mL | LH LEUTINIZING HORMONE (MALE): 5.97 mIU/L | PROLACTIN: 5.76 ng/mL | TESTOSTERONE (TOTAL): 184.99 ng/dL | CORTISOL (AM): 1.22 Ug/dl | IGF1 INSULIN LIKE GROWTH FACTOR 1 : 117 ng/mL |
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|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TABLET HYDROCORTISONE 20 MG
HISONE 20 MG |
PO |
1-0-0 |
AFTER FOOD
|
TILL NEXT VISIT |
| DO NOT STOP HYDROCORTISONE DOUBLE THE DOSE DURING MINOR ILLNESS | |
|
2 |
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 | |
|
3 |
INJECTION TESTOSTERONE ENANTHATE 250 MG (INJECTION)
TESTOVIRON DEPOT 250 MG
Medicine For HYPOGONADISM |
IM |
ONCE A MONTH |
TO BE ADMINISTERED BY A HCP ONLY
|
TILL NEXT VISIT |
|
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| |
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| Refill :
0 / Substitution: |
|
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| Education |
: |
| Next Visit |
: 06/Aug/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP IGF1 FASTING PROLACTIN,MRI PITUITARY WITH CONTRAST |
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