|
|
| 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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