                                                                                                                                             Dr Sandhya Rani
                                                                                                                                                               MBBS DGO

      1000000101833969
                                                                                                                                                   2023-08-17 14:00
      Sangeeta Tarleja , Age: 48 Y 0 M
                                                                                                                                                          9632798749


                                       Wt: 72:4 kg
                 VITALS
                                       BP: 157 / 92 mmetg


     Prescription

     Menorrhagia on and off since 5-6 months
     K/C/O Adenomyosis

   M/H Cycles:
                    10-15/30-60 days
    Bleeding
    LMP: 15 days back


    OBH; ML: 21 years

    P2L2 both FT LSCS


   P/H: Thal minor


   F/H: nothing significant


  Drug Allergy: nil

  USG: diffuse adenomyosis ET 13.3 mm problem


  O/E GC: Good
                       No pallor
           p/A: soft


 ADVICE: Tab PRIMOLUT N 5 mg 3 times daily for 3 days
 Followed by twice daily for 18 days
 Discussed Hysteroscopy DnC with Mirena insertion


 Notes and Abbreviations

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The ma dotal presenation and does not need doctor's sine                                                            ploaso content Rioception or dros an R

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