|
|
| MRD / Regn No. |
: 20260000683 |
Date |
: 21/07/2026 |
| Patient Name |
: Ravi Kumar Karel |
Age & Gender |
: 58 Yrs. / Male |
| Contact No. |
: 9331263646 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NKA |
Referred By |
: |
| |
|
|
Subjective |
: |
OBESITY,PREDIABETES,THYROID DYSFUNCTION FOR 20 YEARS,FATIGUE
|
|
Objective |
: |
NONE |
|
Analysis |
: |
MILD TSH ELEVATION,OBSTRUCTIVE SLEEP APNEA,OBESITY |
|
Plan |
: |
ADD TIRZEPATIDE,INCREASE LT4 150 MCG,ADD VITAMIN D,SEE ME IN 1 MONTH |
|
| Salient Investigations |
: |
APNEA HYPOPNEA INDEX: 23.8 | RESPIRATORY DISTRESS INDEX: 26 / hour | |
|
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 |
CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
3 |
TABLET THYROXINE 150 MCG
THYRONORM 150 MCG
Medicine For HYPOTHYROIDISM |
PO |
1-0-0 |
EMPTY STOMACH
|
TILL NEXT VISIT |
| MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B... | |
|
4 |
TELMISARTAN 40 MG
ERITEL 40 MG |
|
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE HIGH POTASSIUM | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 21/Jul/2026 |
| Tests Suggested For Next Visit |
: NONE |
| |
|
| |
|
Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu /
48748 HPRID: 71-0638-2075-7542
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