                         Dr Sudhir's Scan Center and Varicose Vein Clinic
        S
                                                                                      Phone: 7799014714: 040-42305009
                         Timely, Fletable . Deperstyle



 V Saniana
 Patient id P3454
 .919703433126


 By: Dr. Sudhir Pudi
                                                                                                                                Date: 22 Jul. 2023
 Clinical Notes

 Complaints                 . Post DVT with PE 2021 - treated with thrombolysis
                               Ching anticoagulation. Treated by rheumatologist.
                            . Now has varicose veins, pigmentation in left leg

 Observations                 Edema, vancose veins. pigmentation present left lower limb. Small lateral leg ulcer
                              Doppler Venous left: Great Saphenous Vein reflux with dilatation and below knee varicosities
                              Short Saphenous Vein is normal.
                              Deep veins . Suggestion of mild narrowing of left Common femoral vein present. Superficial
                              femoral vein is normal. Popliteal vein is narrowed.
                              BP: 110/80mmhg: PR: 81bpm; SPO2: 93%; Ht: 181cm; Wt: 123kg; BMI: 37.5(Obese).
                            . Antiphospholipid antibody positive

 Diagnosis                 . Post thrombotic syndrome in left leg.

 Note                          Suggested conservative management: Weight loss. Compression stockings. Walking. Foot elevation.
                               Review as required                                                                                                          Chem


Prescription(Rx)

                                                         Frequency                                       Instructions
        Drug Name                     Strength


                                                             1               0               1          1 month(s)
        Tablet Dation                500 mg
        60 tablets                                        Morning        Afternoon        Night

                                                                                                        apply to leg 3-4times a day.
 2. Lotion Venusia Max

                                                                                                         (Desonide Gel) Apply at night to itchy
 3 Ointment Triamcenolone 0.1 %                                                                          areas in the leg

                                                                                                         Use once a day at night. Apply Minimal
      Ointment Heslace               7.5 mg
                                                                                                         amount only over the ulcers


                                    Grade Il(25-                                                          Use throughout the day. Remove while
  5     Stocking Compression
        Stockings - Knee length 30) mmhg                                                                  sleeping

> To continue anticoagulation

 7-1-220/46, Stavya D Estates: Opp Nature Cure Hospital, Balkampet, Hyderabad


                                                                    - Review after3 months                              www.drsudhir scancenter nn
 Dr Suchir Pudi, MBBS, DNB




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