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                                                                                                                                                                                                 ··. ··. ··· ··. ····
   ··. ········· ····                                                                                                      KALE PILES
                                                                                                                                                                  M.S. (ISM Ano-rectal Surgery) F.K.A.R.D. (Mumbai)
    M.S. (ISM Ano-rectal Surgery) F.K.A.R.D. (Mumbai)
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    ····. ······· ·········· ········, ·····                                                                                                                                                                                Reg. No. 1-37178
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     Reg. No. 1-37180                                                                           Website : www.kalepileshospital.com

                                                                                                                                                                                  Date - 03/08/2023

                                                                                Age - M/33 Yrs                                           Address - Hudkeshawr road
      Name - Karan Deotale

       Wt -- 57 Kg                                        Business : lecturer in private college



        Present Anorectal complain - anal pain for whole day- 4 days, bleeding from anal region intermittently,
        anal growth
        Motion -hard and soft
         Hlo- previous surgery disease or anesthesia - hernia operated before 2013
         Drug History - Nil
         hlo Chronic disease, BPH - Nil
         Is patient taking any anticoagulant drugs for heart or any disease? -
                                                                          Tea, Coffee - 2                                                                        Kharra / Tobacco daily
         Habits - Nonveg per month - 1
                                                       Alcohol monthly -Nil                                      Fast Food-1                  Exercise - Nil                     Water Intake - 6 glass
         Smoking/ month - Nil

         Provisional Diagnosis ·

                  1. moderate anal spasm with
                  2.  Grade 2 internal haemorrhoids at 3, 7 and 11 O'clock with
                   3. Chronic Fissure in Ano at 6 O'clock with
                       sentinel tag at same with
                  5.   posterior midline anal fistula having external opening at 6 O'clock 1 cm from anal margin and internally blind,
                      rest anal and rectal mucosa seems normal

          Ayu Medicine Dispensed @ 150 c

                        Sarak                                          2 ······ ····· ···· ·· · ···· ···                                                                                                     10
           tab
                                                                       2 ······ ·····, 2 ······ ····· ···· ·· ···                                                                                           20
           tab           Ashti 3
                                                                       · ······ ·····, · ······· ····· ···· ·· ···                                                                                          10
            tab         poshak
          MKM G7 [ ···· ··· ··· · ··· ··· ···· ···· ··, ··· · ··· ··· ···· ····)                                                                                                                            01

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            RX
                                                             [··· ·· ···· ···· ······ ····· ·· ·· )                                                                        8
            Medicine for 05 day
                                                                        · ······ ·····, · ······ ····· ···· ·· ···                                                                                           10
            tab           Vranropak
                          lyzoflam forte                               1 ······ ·····, 1 ······ ····· ···· ·· ····                                                                                           10
           tab
                                                                        · ······ ····· ···· ·· ···                                                                                                          05
            tab           willgo sp
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            Adv. 45/38 & Plan - MRI fistulogram anal

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            T/t Started on 03/08/2023 - Next Review - 08/08/2023



                                                                                                                                                                                                       -    · ····· ······,
           ·····: ······ ·· ····· ···, ····· ···, ······, ······                                                       -    ··········· ··. : ·) 0712 . 2745515,
                              ···: ····· 12 ·· 3 ····. 7 ·· 9                                                                                                                                                    Mob. : 9764116093
                                                                                                                            Mob : . 7558387079, 9423105824

             - - - - ig asdie wii posterior minne anal fistula having external opening at 6 O'clock 1 cm
            from anal margin and internally blind, rest anal and rectal mucosa seems normal

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'काळे पाईल्स हॉस्पिटल अॅन्ड लेजर सर्जरी सेंटर', 'clinic_pharmacy_address': 'दिघोरी बस स्टॉप जवळ, उमरेड रोड, दिघोरी, नागपूर', 'clinic_pharmacy_city': 'नागपूर', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'डॉ. विरेन्द्र काळे', 'doctor_qualifications': 'M.S. (ISM Ano-rectal Surgery) F.K.A.R.D. (Mumbai)', 'doctor_registration_number': 'Reg. No. 1-37178'}, 'patient_details': {'patient_name': 'Karan Deotale'}, 'prescription_details': {'date_of_doctor_consultation': '03/08/2023'}, 'procedure': {'chief_complaints_diagnosis': 'मध्यम स्तरीय गुदरोग स्फीटि, मध्य 2 अंतरणीय प्रजात, अंतः रेखाग्राही फिशरमस्थान और बांधमण्या मधील पिणसंपर्क पठार, प्रांतिके सारकी औषधिंनी वितारण केलेलं'}, 'medicine_details': [{'medicine_name': 'tab Sarak', 'medicine_dosage': '2 टॅबलेट रातको भोजन के २ घंटे बाद', 'medicine_frequency': '10', 'course_duration': 'NA'}, {'medicine_name': 'tab Ashti', 'medicine_dosage': '2 टॅबलेट सबेरे, 2 टॅबलेट रातको भोजन के बाद', 'medicine_frequency': '20', 'course_duration': 'NA'}, {'medicine_name': 'tab poshak', 'medicine_dosage': '१ टैबलेट सबेरे, १ टॅब्लेट रातको भोजन के बाद', 'medicine_frequency': '10', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'MRI fistulogram anal'}}