|
|
| MRD / Regn No. |
: 20160000652 |
Date |
: 08/07/2026 |
| Patient Name |
: Florence Joseph Ravi |
Age & Gender |
: 62 Yrs. / Female |
| Contact No. |
: 8056499655 |
UHID |
: |
| Ht / Wt / BMI |
: 148 / 69.7 / 31.82 |
BP S / BP D |
: 155 / 99 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
HYPOTHYROIDISM, UNSPECIFIED (01/Jan/2015) | VITAMIN D DEFICIENCY (11/Aug/2016) | TYPE 2 DM (08/Feb/2017) | VITAMIN D DEFICIENCY (11/Aug/2016) | HEART FAILURE STAGE B (04/Sep/2023) | ALLERGIC RHINITIS (26/Dec/2023) | NAFLD (21/Aug/2024) | |
|
Subjective |
: |
CONTINUED KNEE PAIN,OFF MEDICATIONS,HAS STOPPED RYBELSUS |
|
Objective |
: |
NO THYROMEGALY |
|
Analysis |
: |
T2DM A1C IN TARGET,HEART FAILURE STAGE B,INCREASED NAFLD AND FIB 4 SCORES,OBESITY,NORMAL VCDR,AMD CHANGES IN FUNDUS,S1F0 MASLD,HYPOTHYROIDISM,OSTEOARTHRITIS |
|
Plan |
: |
DECREASE LT4 TO 88 MCG,ADD SEMAGLUTIDE,SEE ME IN 1 MONTH |
|
| Salient Investigations |
: |
HEMOGLOBIN: 13.1 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 78.9 fL | PLATELETS: 175 thou cells/ ul | WBC WHITE BLOOD CELLS: 549 K/uL | FASTING PLASMA GLUCOSE (FPG): 88 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 5.6 % | POST PRANDIAL GLUCOSE (2HPP): 92 mg/dL | CREATININE: 0.9 mg/dL | UREA: 25.8 mg/dL | URIC ACID: 4.3 | EGFR EGLOMERULAR FILTRATION RATE: 67.94 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 67.94 mL/min/1.73m2 | HDL HIGH DENSITY LIPOPROTEIN: 92 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 91 mg/dL | TGL TRIGLYCERIDE: 37 mg/dL | TOTAL CHOLESTEROL: 186 mg/dl | ALBUMIN (SERUM): 4.3 g/dL | ALKALINE PHOSPHOTASE: 92 IU/L | DIRECT BILIRUBIN: 0.2 mg/dl | SGOT (AST): 42 U/L | SGPT (ALT): 35 IU/L | FIB4: 2.52 | TOTAL BILIRUBIN: 0.4 mg/dL | BICARBONATE: 24 meq/L | CHLORIDE: 107 meq/L | POTASSIUM: 4.6 meQ/L | SODIUM: 144 meq/L | TOTAL T3: 80 | TOTAL T4: 12.3 mcg/dL | TSH : 0.1 mIU/L | VITAMIN B12: 520 pg/mL | VITAMIN D (25 OH): 50 ng/mL | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
CHOLECALCIFEROL 2000 IU
D RISE 2000 IU
Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| TAKE AT BEDTIME | |
|
2 |
TELMISARTAN 40 MG
TAZLOC 40 MG
Medicine For HYPERTENSION KIDNEY PROTECTION |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
3 |
TABLET DAPAGLIFLOZIN 10 MG
UDAPA
Medicine For DIABETES OBESITY HEART AND KIDNEY PROTECTION |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE GENITOURINARY INFECTION. INFORM IF THERE IS DYSURIA OR GENITAL ITCHING | |
|
4 |
ROSUVASTATIN 10 MG
ROSEDAY 10 MG
Medicine For CHOLESTEROL |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE FATIGUE AND MUSCLE PAIN | |
|
5 |
TABLET THYROXINE 88 MCG
THYRONORM 88 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... | |
|
6 |
INJECTION SEMAGLUTIDE 0,25 MG
OBEDA
Medicine For DIABETES HEART AND KIDNEY PROTECTION |
SQ |
ONCE A WEEK |
SUBCUTANEOUS
|
|
| MAY CAUSE NAUSEA VOMITING | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 07/Aug/2026 |
| Tests Suggested For Next Visit |
: NONE |
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