|
|
| MRD / Regn No. |
: 20190000390 |
Date |
: 08/07/2026 |
| Patient Name |
: Rajalakshmi Venkatraman |
Age & Gender |
: 67 Yrs. / Female |
| Contact No. |
: 9884717699 |
UHID |
: |
| Ht / Wt / BMI |
: 150 / 107.1 / 47.60 |
BP S / BP D |
: 115 / 70 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
HYPOTHYROIDISM, UNSPECIFIED (01/Jan/1998) | LIPODYSTROPHY (22/Jun/2019) | OBESITY (01/Jan/1998) | PREDIABETES (20/Jun/2019) | HYPOTHYROIDISM (13/Sep/1998) | NAFLD (22/Feb/2023) | |
|
Subjective |
: |
HAS TAKEN LOWER DOSE OF THYROXINE,WANTS TO CHANGE TO ORAL GLP1RA
|
|
Objective |
: |
FURTHER WEIGHT GAIN |
|
Analysis |
: |
OBESITY,HYPOTHYROIDISM,INCREASED FIB4 / NAFLD SCORE,S1-S2F0 NAFLD,VITAMIN D INSUFFICEINCY,ATROPHIC VAGINITIS |
|
Plan |
: |
CHANGE TO SEMALIX ORAL,DECREASE LT4 TO 100 MCG |
|
| Salient Investigations |
: |
BUN BLOOD UREA NITROGEN: 9.2 mg/dL | FASTING PLASMA GLUCOSE (FPG): 68 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 5.4 % | POST PRANDIAL GLUCOSE (2HPP): 74 mg/dL | CREATININE: 0.6 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 106.75 mL/min/1.73m2 | UREA: 19.6 mg/dL | URIC ACID: 19.6 | BICARBONATE: 24 meq/L | CHLORIDE: 109 meq/L | POTASSIUM: 5 meQ/L | SODIUM: 144 meq/L | TOTAL T3: 92 | TOTAL T4: 10.1 mcg/dL | TSH : 0.2 mIU/L |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
DAPAGLIFLOZIN 10 MG METFORMIN XR 500 MG
UDAPA /M
Medicine For DIABETES OBESITY |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| COMBINATION OF METFORMIN AND DAPAGLIFLOZIN MAY CAUSE GU INFECTIONS AND STOMACH UPSET | |
|
2 |
CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
3 |
ROSUVASTATIN 10 MG
ROSEDAY 10 MG
Medicine For CHOLESTEROL |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE FATIGUE AND MUSCLE PAIN | |
|
4 |
TELMISARTAN CTD 40 MG
ERITEL CH 40 MG
Medicine For HYPERTENSION KIDNEY PROTECTION |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
5 |
CREAM ESTRIOL CREAM
EVALON |
PV |
TWICE A WEEK |
AS DIRECTED
|
TILL NEXT VISIT |
|
|
6 |
TABLET SEMAGLUTIDE
SEMALIX 7 MG
Medicine For DIABETES OBESITY |
PO |
1-0-0 |
EMPTY STOMACH NO INTAKE FOR 30 MINUTES
|
|
| MAY CAUSE NAUSEA VOMITING OR CONSTIPATION | |
|
7 |
TABLET THYROXINE 100 MCG
THYRONORM 100 MCG
Medicine For LOW THYROID |
PO |
1-0-0 |
EMPTY STOMACH
|
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B... | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 06/Oct/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP FREE T4 TSH HBA1C |
| |
|
| |
|
Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu /
48748 HPRID: 71-0638-2075-7542
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