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|
| MRD / Regn No. |
: 20260000652 |
Date |
: 16/07/2026 |
| Patient Name |
: Nagamani Seshadri |
Age & Gender |
: 50 Yrs. / Female |
| Contact No. |
: 9842595407 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
RETINOPATHY NON PROLIFERATIVE (16/Jul/2026) | F1S2 MASLD (16/Jul/2026) | TYPE 2 DM (16/Jul/2000) | OBESITY (16/Jul/2026) | |
|
Subjective |
: |
DM FOR 26 YEARS,HYPERTENSION |
|
Objective |
: |
NONE |
|
Analysis |
: |
TYPE 2 DM,OBESITY WITH METABOLIC AND MECHANICAL COMPLICATIONS,HTN,LOW VCDR,INCREASED FIB4 SCORE,S2F1 MASLD,NDPR |
|
Plan |
: |
ADD STATIN,ADD TIRZEPATIDE AND SGLT2I,LIFESTYLE CHANGES,CHANGE TO DEG ASP 18-0-12 UNTIS |
|
| Salient Investigations |
: |
LIVER CAP: 351 dB/M | LIVER ELASTICITY: 8.6 kPA | LIVER METAVIR SCORE: F1 | LIVER STEATOSIS SCORE: S3 | CUP DISC RATIO L: 0.44 | CUP DISK RATIO R: 0.57 | FUNDUS PHOTOGRAPH: NDPR | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION TIRZEPATIDE 2.5 MG
YURPEAK
Medicine For DIABETES OBESITY WEIGHT LOSS |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
|
| MAY CAUSE NAUSEA VOMITING OR DIARREHA | |
|
2 |
SGLT2I EMPAGLIFLOZIN 10 MG
JARDIANCE
Medicine For DIABETES OBESITY HEART AND KIDNEY PROTECTION |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE GENITOURINARY INFECTIONS | |
|
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 |
STRIP SIMETHICONE 62.5 MG
GASOFILM |
ORAL |
- |
AS DIRECTED
|
TILL NEXT VISIT |
|
|
5 |
INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES |
SQ |
18-0-12 UNITS |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE HYPOGLYCEMIA | |
|
6 |
TELMISARTAN 40 MG
ERITEL 40 MG |
|
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE HIGH POTASSIUM | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: AVOID CONJEE SWEETS CHOCOLATES AND SIMPLE SUGARS OF ANY KIND,AVOID OR REDUCE RESTAURANT FOOD,AVOID PROCESSED FOOD,EXERCISE 150 MINUTES PER WEEK,REDUCE CARBOHYDRATE BY 20%,REDUCE SEDENTARY TIME |
| Next Visit |
: 16/Jul/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP |
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