Analysis prescription
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Prescription Analysis - AIIMS Bhubaneswar OPD Card
Patient Details
| Field | Information |
|---|---|
| Name | Goutam Giri |
| S/O | Bankim Chandra Giri |
| Age/Sex | 36 Years / Male |
| Date & Time | 22/06/2026, 08:59 |
| CR No. | 219172200182261 |
| ABHA No. | 34-4666-8480-6816 |
| Address | Sulepur, Balasore, Odisha |
| Category | General |
| Department | Cardiology - Cardiology Unit I |
| OPD BL No. | 160 |
Diagnosis
Dyslipidaemia - a condition characterized by abnormal levels of lipids (cholesterol and/or triglycerides) in the blood. This is a significant cardiovascular risk factor.
Additional note written: C/O DOB (shortness of breath/difficulty of breathing) and Age 16 (possibly symptom duration or a secondary note).
Investigations Ordered
Lab Tests (boxed list):
- CBC, PT, INR - Complete Blood Count, Prothrombin Time, INR (coagulation screen)
- URINE RE/ME - Urine Routine Examination / Microscopic Examination
- LFT, KFT, FLP, HbA1c - Liver Function Tests, Kidney Function Tests, Fasting Lipid Profile, Glycated Haemoglobin
- FBS, PPBS, RBS - Fasting Blood Sugar, Post-Prandial Blood Sugar, Random Blood Sugar
- T3, T4, TSH - Thyroid Function Tests
- HBV, HBsAg, HCV - Hepatitis B & C screening
- CXR PA View - Chest X-Ray (Posteroanterior view)
- USG Abdomen & Pelvis
- Carotid Doppler - to assess carotid artery plaque/stenosis (cardiovascular risk assessment)
- ECHO Study - Echocardiogram (cardiac function evaluation)
Cardiology/CTVS Online Requisition Raised - Date: 22/06/26
Procedures / Cardiac Investigations
- ECG NSR - ECG showing Normal Sinus Rhythm (reassuring, no acute arrhythmia)
- Echo (N) - Echocardiogram result is Normal
Medication Prescribed
Tab Rozuvas XL 25 mg OD (once daily)
- This is Rosuvastatin 25 mg (brand: Rozuvas) - a high-intensity statin
- Used to lower LDL ("bad") cholesterol and triglycerides, and raise HDL ("good") cholesterol
- Standard first-line treatment for dyslipidaemia
- Typically taken at night
Summary & Clinical Interpretation
This is a 36-year-old male presenting to AIIMS Bhubaneswar Cardiology OPD with dyslipidaemia (abnormal blood lipid levels), likely also with some complaint related to breathing (DOB). Key findings:
- ECG is normal (Normal Sinus Rhythm) - no electrical heart problem detected
- Echocardiogram is normal - heart structure and function appear intact
- A comprehensive workup has been ordered - blood sugar, thyroid, liver, kidney, lipid profile, hepatitis screen, imaging (CXR, USG, Carotid Doppler, ECHO) - to identify underlying causes of dyslipidaemia and assess overall cardiovascular risk
- Rosuvastatin 25 mg once daily has been started - this is a high-intensity statin appropriate for a patient with significant dyslipidaemia at a relatively young age (36 years)
Important note: This analysis is for informational purposes only. All medication and follow-up decisions should be followed as directed by the treating physician at AIIMS Bhubaneswar. Do not modify the dose or stop the medication without consulting your doctor. The next OPD is on Monday, Wednesday, or Friday.
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