MRD / Regn No. : 20260000631 Date : 13/07/2026
Patient Name : Jayalakshmi Dhandayuthapani Age & Gender : 44 Yrs. / Female
Contact No. : 9003136886 UHID :
Ht / Wt / BMI : BP S / BP D :
Allergies : NKA Referred By :
   
Subjective : NEW ONSET DM,THYROID DYSFUNCTION FOR 6 YEARS
Objective : NONE
Analysis : TYPE 2 DM,OBESITY,VITAMIN D DEFICIENCY,DYSLIPIDEMIA,HYPOTHYROIDISM
Plan : START TIRZEPATIDE,SEE ME IN 1 MONTH,INCREASE LT4 TO 62.5 MCG  
Salient Investigations : FUNDUS GLAUCOMA: NDR | FUNDUS MACULAR DEGENERATION: NAD | FUNDUS PHOTOGRAPH: NAD | OCULAR PRESSURE LEFT: 0.6 mmHg | OCULAR PRESSURE R: 0.4 mm HG | ABI LEFT: 0.7 | ABI RIGHT: 0.8 | MICROALBUMIN CREATININE RATIO: 1.8 mcg/mg | FASTING PLASMA GLUCOSE (FPG): 204 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 9.1 % | POST PRANDIAL GLUCOSE (2HPP): 309 mg/dL | BUN BLOOD UREA NITROGEN: 6.9 mg/dL | HIGH SENSITIVE C REACTIVE PROTEIN: 10.6 mg/L | NT PROBNP : 10 pg/mL | CREATININE: 0.7 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 97.31 mL/min/1.73m2 | URIC ACID: 3.4 | BICARBONATE: 24 meq/L | CHLORIDE: 97 meq/L | POTASSIUM: 4.1 meQ/L | SODIUM: 132 meq/L | ALBUMIN (SERUM): 3.9 g/dL | ALKALINE PHOSPHOTASE: 98 IU/L | DIRECT BILIRUBIN: 0.3 mg/dl | SGOT (AST): 19 U/L | SGPT (ALT): 29 IU/L | TOTAL BILIRUBIN: 0.8 mg/dL | HDL HIGH DENSITY LIPOPROTEIN: 39 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 102 mg/dL | TGL TRIGLYCERIDE: 103 mg/dL | TOTAL CHOLESTEROL: 162 mg/dl | HEMOGLOBIN: 9.5 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 73 fL | PLATELETS: 430 thou cells/ ul | FIB4: 0.36 | VITAMIN B12: 281 pg/mL | WBC WHITE BLOOD CELLS: 837 K/uL | FREE T3: 2.4 ng/dL | FREE T4 : 1.2 ng/dL | TSH : 4.9 mIU/L | VITAMIN D (25 OH): 17.2 ng/mL
S# Generic (Trade) Name Route Dosage Usage Duration
1 INJECTION TIRZEPATIDE 2.5 MG
MOUNJARO
Medicine For DIABETES OBESITY
SQ ONCE A WEEK AS DIRECTED
TILL NEXT VISIT
MAY CAUSE NAUSEA AND VISUAL DISTURBANCES
2 GEL CHOLECALCIFEROL 60000 IU
ARACHITOL NANO
Medicine For VITAMIN D
PO ONCE A WEEK DRINK LIQUID AS IS
2 WEEKS
3 CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D
PO 0-0-1 AT BEDTIME
TILL NEXT VISIT
4 TABLET THYROXINE 62.5 MCG
THYRONORM 62.5 MCG
Medicine For HYPOTHYROIDISM
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 : 12/Aug/2026
Tests Suggested For Next Visit : FBS 2HPP
   
   

Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu / 48748 HPRID: 71-0638-2075-7542

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