                                                                                                 Dr. Pravin Sakharam Narkhede
ULTR                                                                                              (Vascular and Endovascular Surgeon)
 MAN                                Peripheral
                                                                                                  (··············· ···· )
                                    Vascular Solutions                                            MBBS, DNB (General Surgery),
                                                                                                  MNAMS, DNB (Vascular & Endovascular Surgery)
                                   PVS Clinic
       Save Limb Save !
                                                                                                      President Gold Medal

 IS

             vaspravin2017@gmail.com (, 0253 - 4060377, 9 9021071708, 7030074740 @ www.drpravinnarkhede.com


                                                                                                                                                        Date :
                                : MRS.HARSHADA CHAUDHARY (37y, Female) 7760817992
       No.         1439
                   Date         : 10-Aug-2023
                                                                                                                            Age :                        Sex :
                   Ref. by : SELF
       Name :
                  Complaints:                                                                                                                        Weight :
       Address .. NO COMORBIDITIS
                        CESARIAN SECTION IN PAST
                        SITTING JOB IN PAST
                        LEFT UPPER LIMB PAIN 3 MONTHS


                  Vascular Examination: LEFT UPPER LIMB PAIN IN ARM AREA. NO DISCOLOURATIONOF FINGERS

                                  ::::: Right ::::::::: Left
                                                               7+
                  Subclavian
                  Axillary
                  Brachial
                  Radial               ++
                  Ulnar
                                                               -
                  Diagnosis:
                      . LEFT UPPER LIMB PAIN NEED EVALUATION MORE


                  Diet and Exercise: AVOID HIGH CHOLESTEROL DIET
                  INCREASE HIGH FIBER DIET ( JAVAS, CUCCUMBER, GAJAR,MULA, SALADS)
                  AVOID SMOKING AND ALCOHOL
                   WALKING DAILY 30mins MORNING AND EVENING.

                  R

                                                                               Dosage                       Timing - Freq. - Duration
                        Medicine

                                                                                   1-0-1                       ········· - ····· - 10 ·····
                  1) TAB. ETOSHINE MR
                      Composition    ETORICOXIB 60 MG + THIOCOLCHICOSIDE 4 MG
                      Timing       : 1 TAB - ······ ····, 1 TAB - ······ ···· ····· ····

                                                                                   1-0-0                       ········ - ····· - 10 ····
                   2) CAP. RABEZ D

                        Composition            DOMPERIDONE 30 MG + RABEPRAZOLE 20 MG
                        Timing                 1 CAP - HIRGII 3/7En

                                                                                   0-1-0                       ········· - ····· - 6 ·····
                   3)     TAB. ECOSPIRIN 150MG
                         Composition    ASPIRIN 150 MG
                         Timing         1 TAB ······ ·········

                                                                                   0-1-0                        ········· - ·· ········· - 2 ·····
                   4)     TAB. GEN D3 60K NANO
                         Composition     CHOLECALCIFEROL 60000 TU
                         Timing       : 1 TAB - ······ ·········

                  ··· ····· :
                         · LEFT UPPER LIMB ARTERIAL VENOUS DUPLEX


                  Referred to:
                  1. Dr. AKSHAY SARDA - Radiologist (9588463117 - DOCTOR HOUSE OPPOSITE THAKKAR BAZZAR TRIMBAK NAKA NASHIK)




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       Plot No. 2. Gurudwara Road, Opp. Sandip Hotel, Old Agra Road, Mumbai Naka, Nashik- 422002.

        Time : Mon, to Sat. 11.00 am to 9.00 pm (Friday & Sunday OPD Closed)
        3 PVS Clinic (Dr. Pravin Narkhede) | f PVS Clinic;@vascularsurgeonnashik

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