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A K M Mohiuddin
N/D
Clinical
(Heart, Medicine, Chest & Diabetes
Associate Professor Cardiology IBN SINA
lbn Sina lVledicalCollege & Hospital
BMDC Reg. No:4-26018

PATIENT HISTORY
Date: ....0. t.Sff ..nl!

Name AzePn g E6c*r r-r . Age: ..a.P..s"^, ..91f... *,, F..Q..ug

Address: ...|K;9.1.94
Mobile Number: ..Q 1..7y..2-...3.? 19 q7 E-mail.........
CHIEF COMPLAINTS:
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PAST HISTORY: -6$'.gE\a oe6\-
CAG atrY
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PCI
ZIu,
PPM
PTMC
Cardiac Cath
Decive Closure
Valvuloplasty
U CABG
Others
CO.M ORBTDITY:
HTNflHD:STEMI/ NSTEMV UA/ CSA/ LVF/ Anhythmia/ RF/VHD/CHD/ PHTN/CHB/TPM/ PPM/TOF/ASD/VSD/IDA/HCM/
DM/CVD-Hge/Isclt/TIA/CKD/IGT/IFG/Dyslipidemia.,tsA/COPD/Obesity/Lifestyle/Arthitis/Arthatgia,r PLID/ PUD/CLD/ DpN/pN/
AN/Depression/PMS/SFD/Malignancy/TB/ Head Injury/Piles/IBS-C,Li LUTS/ Hypothyroidism/ Hyperthyroidism/Hyperurecemia,/
Allergy/Skin Disease
FAMILY HISTORY
HTN.IHD. DM. Dyslipidaemia. cvD. BA. Malignancy. Mental Disorder. piles,IBS

PERSONAL HISTORY:
$rnoking, Alcohol, Drug, Betel nut/leaf, Tobacco leaf.

DRUG HISTORY :
Recent : Previous:
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o/E: Investigation :

t @ HbTo ESR

PBF/Blood grouPing and Rh Factor

Fasting

2HA75gm Glucose

BS BS 2HABF

2HAL
oordEuoEl
F.---:A-
Fasting(LEIEESP
ACR, S.ElectrolYtes:

ECG
Provisional Diagnosis:
Troponin- 1. CK-MB, NT.PToBNP/BNP

2D andM-Mode
Echo

Confi rmatory Diagnosis :

ETT. Hoiter Monitor
HBsAg E1isa, HCVAntibody, HIV(1+2), VDRL, TPHA
FT3, H-Pylori AntibodY
S. , ALP, S.Albttmin. A: G ratio
Treatment:
Prothombin Time, INR, BT, CT, APPTT
S.Uric Acid, ASO, CRP, Anti CCP, RA
S.Iron Profile, Total Iron, TIBC, Ferritin, Hb-Electroporesis
RT-PCR for Covid-l9/Rapid Antigen test for Covid-19
D-Dimer. Procalcitonin
Fasting S.Calcium, PO4, Mg
Vitamin-D (25-OH)
o(-Feto Protein, PSA(Quantitive), CEA
TCT for Malaria, Blood for C/S, MP
Dengue NSl Ag Dengue IgG, Dengue igM, IgE
v
Sputum for AFB/Malignant Cell
Anti Thyroid antibody, Radio lodine uptake test of Thyroid
Thyroid ScanfuSG of thYroid
CXRP/A, X-Ray

Endoscopy of UPPer
Advice:

CA G/PT CA/PTM C/PPN,{/TPM/PA G

Cardiac Cath/Device Closure
EEG
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o 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500
; o Mobile :01841 212275-76, Phone: +8808174470-73
z o E-mail : idic.cumilla@ibnsinatrust.com
O Web : ibnsinatrust.com

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IBN SINA
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rllll}I&$$$Irulll:lI REPORT
I.D. No cu4l257 Received date : 9 sep 2021 Printed date: 9 Sep 2021 08:35PM

Name of Pt. HAZERA BEGUM Age : 50 y(s) Sex: Female

Ref. By Assoc. Prof. Dr, A.K.M Mohiuddin Bhuiyan (Masum), MBBS, MD (Cardiology)

Part Scanned ECHO COL.DOP.

Thanlrs /or refeting the patient to us.

ECHOCARDIOGRAPHY REPORT
(2D & M-mode & Colour Doooler)

Parameter Value Parameter Value

ARD 27 mm LV mass gm
LA 37 mm EPSS mm
ACS l7 mm Mitral EF slope cm/sec
LA:AO: Ratio 1.3 Mitral annulus mm
LA volume ml/m2 MVA Glanimetrv) cm2

RA mm AVAGlanimetry) cm2
RVID mm Aseending Aorta mm
RVOT illm Aortic annulus mm
Md 06mm LVOT mm
LVPWD 07 mm TV annulus firm
WS/LVPW 0.7 MPA mm
LVIDd 46mm LPA fltm
LVIDs 30 mm RPA mm
FS 33% MAPSE mm
LVEF . 6t% TAPSE 22nrt

Doppler Measurement
Parameter Velocity (m/s) Peak Gradients Mean Gradients Diastology
Mihal valve 1.05 4.43 mmHg mmHg Mitral E 0.78 E/E 0.8
Aortic valve 1.60 10.3 mmHg mmHg Mitral A 1.01 DT:
Tricuspid valve 0.65 1.70 mmHe runHg E/A ratio 0.8 IVRT:

o Pulmonary valve 1.22 5.95 mmHg

PASP 29 mmHg
mmHg

PADPmmHg
Medial E 6.19

Lateral E 7.83
LV volume
Index
LVOT
:

Pulmonary Arterial Pressure

gradient

Description
Sit,5 *lit*, Levocardia, two Atria, two Ventricle, Atrioventricular and Ventriculoatrial concordance. Normal
systemic and pulmonary venous drainage. No PDA, No Coaractation.
Chambers
LA- Notmal, clear appendage.
LV- Cavity dimension and wall motion within normal limits'
Anteriror wall: All segments are normokinetic.
Septum: All segments are normokinetic.
Lateral (including posterior) wall: All segments are normokinetic.
Inferior Wall: All segments are normokinetic.
RA- Cavity dimension are within normal limit.
RV- Cavity dimension and wall motion within normal limit.
 O 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500
tr o Mobile :01841 212275-76, Phone: +8808174470-73
z O E-mail : idic.cumilla@ibnsinatrust.com
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Valves
o Mitral valve: Structurally normal, no MS/MR.
r Aortic valve: Structurally normal, no AS/AR.
o Tricuspid valve: Structurally normal, no TS/TR.
o Pulmonary valve: Structurally normal, no PS/PR.

Septae :
IAS: Intact
fVS: Intact. Paradoxical.

Veins:
Pulmonary veins: Normal flow seen.
IVC: Normal

Pericardium: No pericardium effusion.

r ThrombusAy'egetation/OtherMass.
o Other findings;

Doppler Study: Normal flow pattern across the valves & grade-I left ventricular diastolic dysfunction seen.

Impression:
. No regional wall motion abnormality of LV.
r Left ventricular diastolic dysfunction (Grade-I).
o Good LV & RV systolic function.

DT.AKM Bhuiyan
C MBBS , MD (Cardiology)
Professor Cardiology
Ibn Sina Medical College & Hospital

Prepared by:
Shomsun Nlhar
 S 29.lr:l€;ifload, Tomsom Bridge, Cumilla-3500
; & tt/obile :01841 212275-76, Phone: +8808174470-73
, I E-mail : idic.cumilla@ibnsinatrust.com
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4r.e57093u USG REPORT
l.D. No Cll4l257 Receiveddate:9Sep202l Printeddate:9Sep2021 07:52PM

Name of Pt. HAZERA BEGUM Age : 50 Y(s) Sex: Female

Ref. By ASSOC. PROF. DR, A.K.M MOHIUDDIN BHUIYAN (MASUM), MBBS, MD (CARDIOLOGY)

Part Scanned USG WHOLE ABDOMEN

Thanksfor your kind referrul

Liver : The liver is normal in size, measuring about 11.7 cm. Hepatic
parenchyma shows brighter echo pattern all over. No definite focal
lesion is detected.
L Gall Bladder : The gall bladder is contracted (Post parendial).
Biliary tree : CBD & intrahepatic biliary channels are not dilated.
Pancreas : Visualized part of the pancreas appears normal.
Spleen : The spleen is normal in size (7.4 x 4.4) cm with uniform echotexture.
Kidneys : Both kidneys are normal in size, shape and position. Bipolar
measurement of the right kidney is about (8.7.x 4.1) cm and that of the
left kidney is (9.0 x 4.2) cm. Parenchymal thickness and echogenicity
appear normal. Cortico-medullary differentiation is maintained.
Pelvicalyceal systems of both kidneys are not dilated. No calculus or
SOL is detected.

Urinary bladder : The urinary'bladder is irregular in out line. Wall thickness is

increased and echogenic. No intra vesical lesion is seen.
Uterus : The uterus is normal in size, measuring about (7.0 x 3.2 x 4.5) cm. It
is anteverted in position. Myometrium shows uniform echotexture.
Endometrial echo is central and thickn'ess (10 mm) is within normal
L. limit. Endometrial cavity is empty.
Adnexae : Both ovaries are normal in size. No abnormal solid or cystic lesion is
detected in the adnexal regions.

Cul-de-sac : Free of any collection.

Comment 1.Fatty changes in liver (Grade-If).

2. Suggestive of cystitis.

0{r{
Dr. Shilpi Datta Gupta
MBBS, DMU, PGT.
Specially Trained in TVS & Color Doppler
Consultant Sonologist
Ibn Sina Diagnostic & Consultation Center, Cumilla
Prepared bv:
Tahmina
 O 29, Kot Bari Road, Tomsom Bridge, Cumilla-3bOO
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IMMUNOLOGY REPORT I[lil [ll

ID No : CIJ41257 Voucher Time : 09/0912021,07:16 PM Reporting Time : 10109/2021, 12:41PM

Name : HAZERA BEGUM Age : 50 Years 0 Month I Day Sex :F

Ref.By : Assoc. Prof. Dr, A.K.M Mohiuddin Bhuiyan (Masum) MBBS, MD (Cardiology)
Specimen : Blood
Estimations are carried out by Vitros Eci Immunoassay System And Checked manually
Parameter Test Result alue
TSH 1.15 pIU/mL Adult: 0.35-5.50
Child:0.70-5.70
Infant: 0.80-9.10
Newbom: 1.00-39,00

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Checked By - @rr-.i
Md. Amaj Uddin
B.Sc (Hon's).M.Sc.( Biochem. & Biotech.)
Biochemist
Ibn Sina D.Lab, Cumilla
 6,
O 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500
; o Mobile :01841 212275-76, Phone: +8808174470-73
z O E-mail : idic.cumilla@ibnsinatrust.com

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ilrunilillJilIJrilflruilrLilil[lr BIOCHEMISTRY REPORT t[l|ilffifll]illltil[lIUilu|il[Il

ID No : CIJ41257 Voucher Time : 09/0912021,07:16 PM Reporting Time : 1010912021,12:36PM

Name : HAZERA BEGUM Age : 50 Years 0 Month I Day Sex :F

Ref.By : Assoc. Prof. Dr, A.K.M Mohiuddin Bhuiyan (Masum) MBBS, MD (Cardiology)
Specimen : Blood
Estimations are carried out by Siemens Dimension ExL 200 Chemistry Analyzer, D-10 Hemoglobin Analyzer Biorad And
Checked manually.
Parameter Test Result Reference Value

Plasma Glucose Random 8.21 mmol/L 3.33-7.78

Corr. Urine Sugar Not Given

HbAIC 5.4 % 4.8-6.0

S. Creatinine 1.08 mg/dl Adult Male: 0.70-1.30
Adult Female: 0.50- l. I 0
Child: 0.20-0.70
s. ALr (sGPr) 35 UIL <40

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Checked By - brr-A
Md. Amaj Uddin
B.Sc (Hon's).M.Sc.( Biochem. & Biotech.)
Biochemist
Ibn SinaD.Lab, Cumilla
 O 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500

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ID No : CU 41257 Voucher Time : 09/09/2021,07:16PM Reporting Time t 1010912021,02:46 PM

Name : HAZERA BEGUM Age : 50 Years 0 Month I Day Sex :F

Ref.By : Assoc. Prof. Dr, A.K.M Mohiuddin Bhuiyan (Masum) MBBS, MD (Cardiology)
Specimen : IJrine
Estimations are carried out Automated urine urised mini+docUreader And Checked
PHYSICAL EXAMINATION Result Reference Value
Quantity Sufficient
Colour Straw Pale Yellow /Straw
Appearance Clear Clear
Specific Gravity 1.012 1.010 - 7.022

CHEM ICAL EXAM I NATION (Qual itative) Result Refurence Value

Reaction (PH) 5 - 8.0
Protein Nit Nit
Glucose Nit Nil
Acetone (Ketone body) Nil Nil
Bilirubin Absent 0.2 mg/dl
Urobilinogen Absent 0.1 - 1.8mg/dl
Nitrite Negative Negative
MICROSCOPIC EXAMINATION Result Refurence Value
Pus Cells 6.8 / HPF 1-s/trPF
Epithelial Cells 2-3 / HPF O-s/HPF
RBC O-2 / HPF 0-2ltrPF
Yeast Cells Nil Nil
Trichomonas Nil Nil
Fungus Nil Nil
Spermatozoa Nil Nil
Cast Result Refurence Value
Hvaline Cast Nir
Granular Cast Nil Nil
Cellular Cast Nil Nil
RBC Cast Nit Nit
WBC Cast Nit Nil
Waxy Cast Nil Nil
Reference Value
Cal.Oxalate Nil
Amorphous Phosphate Nit Nil
Uric Acid Nil Nil
Urates Nir Nil
Triple Phosphate Nil Nil
Sulphonamide Nil Nil

^M
DMT (SMF), Lab. Medicine
Technologist
Dr. Pinki Saha
MBBS, MPhil (Microbiology)
Consultant, Microbiology
Ibn Sina D. Lab, Cumilla.
lbn Sina D.Lab. Cumilla