|
|
| MRD / Regn No. |
: 20160000775 |
Date |
: 14/07/2026 |
| Patient Name |
: Ranjana Madhivanan |
Age & Gender |
: 64 Yrs. / Female |
| Contact No. |
: 7358604410 |
UHID |
: |
| Ht / Wt / BMI |
: 161 / 65.5 / 25.27 |
BP S / BP D |
: 120 / 78 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
HYPOTHYROIDISM, UNSPECIFIED (01/Jan/2010) | OSTEOPOROSIS (01/Jan/1970) | HYPOTHYROIDISM (26/May/2010) | PREDIABETES (26/May/2022) | DYSLIPIDEMIA (26/May/2022) | VITAMIN B12 DEFICIENCY (23/Apr/2025) | |
|
Subjective |
: |
NO NEW COMPLAINTS |
|
Objective |
: |
NONE |
|
Analysis |
: |
OSTEOPOROSIS,DYSLIPIDEMIA,HYPOTHYROIDISM EUTHYROID ON REPLACEMENT,PREDIABETES,BMD IMPROVED,VITAMIN B12 DEFICIENCY |
|
Plan |
: |
INCREASE LT4 TO 75 MCG,SEE ME IN 3 MONTHS |
|
| Salient Investigations |
: |
BUN BLOOD UREA NITROGEN: 9 mg/dL | VITAMIN D (25 OH): 25.3 ng/mL | HEMOGLOBIN: 12.3 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 84.7 fL | PLATELETS: 348 thou cells/ ul | WBC WHITE BLOOD CELLS: 700 K/uL | FASTING PLASMA GLUCOSE (FPG): 92.3 mg/dL | POST PRANDIAL GLUCOSE (2HPP): 89.2 mg/dL | CREATININE: 0.8 mg/dL | UREA: 19.3 mg/dL | URIC ACID: 5.1 | FREE T4 : 1.1 ng/dL | VITAMIN B12: 378 pg/mL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 5.5 % | HDL HIGH DENSITY LIPOPROTEIN: 65.4 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 171 mg/dL | TGL TRIGLYCERIDE: 133 mg/dL | TOTAL CHOLESTEROL: 263 mg/dl | ALBUMIN (SERUM): 4.4 g/dL | ALKALINE PHOSPHOTASE: 56.2 IU/L | DIRECT BILIRUBIN: 0.1 mg/dl | SGOT (AST): 23.8 U/L | SGPT (ALT): 18 IU/L | TOTAL BILIRUBIN: 0.5 mg/dL | TOTAL T3: 0.9 | TOTAL T4: 11.1 mcg/dL | TSH : 8.3 mIU/L | EGFR EGLOMERULAR FILTRATION RATE: 77.33 mL/min/1.73m2 | FIB4: 1.03 | EGFR EGLOMERULAR FILTRATION RATE: 77.33 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 77.33 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 77.33 mL/min/1.73m2 | FIB4: 1.03 | FIB4: 1.03 | HIP BMD: 0.793 g/cm2 | HIP T SCORE: -1.8 | SPINE BMD: 0.846 g/cm | SPINE T SCORE: -2.8 | |
|
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 |
TABLET CALCIUM CARBONATE 1250 MG VITAMIN D3 250 IU
SHELCAL 500 MG
Medicine For CALCIUM |
PO |
0-1-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| CALCIUM MAY CAUSE CONSTIPATION | |
|
3 |
INJECTION METHYCOBALAMIN 1 MG (INJECTION)
RENERVE PLUS 1 MG (INJECTION)
Medicine For VITAMIN B12 DEFICIENCY |
IM |
ONCE IN 3 MONTHS |
TO BE ADMINISTERED BY A HCP ONLY
|
THREE MONTHS |
| TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE ONLY | |
|
4 |
TABLET THYROXINE 75 MCG
THYRONORM 75 MCG
Medicine For HYPOTHYROIDISM |
PO |
1-0-0 |
EMPTY STOMACH
|
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR BREAKFAST MUST BE TAKEN ONLY AFTER 30 MINUTES. OTHER DRUGS CAN INTERFERE WITH THE ABSORPTION OF THYROXINE | |
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| Refill :
0 / Substitution: |
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| Education |
: |
| Next Visit |
: 12/Oct/2026 |
| Tests Suggested For Next Visit |
: FREE T4 TSH FBS 2HPP |
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