MRD / Regn No. : 20240000808 Date : 21/07/2026
Patient Name : Vasanthalakshmi Narasimhan Age & Gender : 79 Yrs. / Female
Contact No. : 9500174447 UHID :
Ht / Wt / BMI : 145 / 54.6 / 25.97 BP S / BP D : 134 / 79
Allergies : NKA Referred By : Chandru Sundaramurthy
   
Problem List : TYPE 2 DM (06/Aug/2004) | AV NODAL REENTRANT TACHYCARDIA (01/May/2024) |
Subjective : HX OF PACEMAKER PLACEMENT,HX OF SUPPRESSED TSH,STARTED ON NMZ 5 MG,TYPE 2 DM FOR 20 YEARS,HAD AVNRT WITH CATHETER ABLATION,DRY SKIN
Objective : THYROID NOT PALPABLE
Analysis : TYPE 2 DM,AVNRT POST ABLATION,I131 GIVEN ON 14/3/2025 14 MCI,HYPOTHYROIDISM POST ABLATIVE,THYROTOXICOSIS RESOLVED,HYPOTHYROIDISM EUTHYROID ON MEDICATIONS,INCREASED LFT,TYPE 2 DM UNCONTROLLED
Plan : GET ADDITIONAL TESTING AND REVIEW  
Salient Investigations : MAGNESIUM: 1.6 mg/dL | FASTING PLASMA GLUCOSE (FPG): 146 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 8.9 % | POST PRANDIAL GLUCOSE (2HPP): 240 mg/dL | MAGNESIUM: 1.6 mg/dL | FASTING PLASMA GLUCOSE (FPG): 146 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 8.9 % | POST PRANDIAL GLUCOSE (2HPP): 240 mg/dL | BICARBONATE: 22.3 meq/L | CHLORIDE: 100.6 meq/L | POTASSIUM: 5 meQ/L | SODIUM: 132.9 meq/L | HEMOGLOBIN: 12.2 g/dL | MCV - MEAN CORPUSCULAR VOLUME: 93.5 fL | PLATELETS: 121 thou cells/ ul | VITAMIN B12: 372 pg/mL | WBC WHITE BLOOD CELLS: 440 K/uL | VITAMIN D (25 OH): 24 ng/mL | BUN BLOOD UREA NITROGEN: 14.9 mg/dL | CREATININE: 0.9 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 64.65 mL/min/1.73m2 | UREA: 31.9 mg/dL | HDL HIGH DENSITY LIPOPROTEIN: 41.8 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 83.6 mg/dL | TGL TRIGLYCERIDE: 103 mg/dL | TOTAL CHOLESTEROL: 146 mg/dl | ALBUMIN (SERUM): 3.7 g/dL | ALKALINE PHOSPHOTASE: 75.2 IU/L | DIRECT BILIRUBIN: 0.1 mg/dl | SGOT (AST): 59.8 U/L | SGPT (ALT): 46.1 IU/L | FIB4: 5.75 | TOTAL BILIRUBIN: 0.3 mg/dL | TOTAL T3: 0.8 | TOTAL T4: 16.4 mcg/dL | TSH : 0.4 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 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
       
Refill : 0 / Substitution:    
Education :
Next Visit : 22/Jul/2026
Tests Suggested For Next Visit : ANKLE BRACHIAL INDEX FUNDUS PHOTOGRAPH NEUROTOUCH,FIBROSCAN,URINE MICROALBUMIN
   
   

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

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