DIVINE HEART & =" Vial Khan instional Are, MULTISPECIALTY HOSPITAL Prone ver sce aN n (An Institution Dedicated To Health Care, Education & Research) ee ee “hrs, POONAM RAE Uno RARE ONES) | Setar 1PONo 24/1465 +: 10-Dec-2021 7:15 PM Discharge; 29-Dee2021 4:37 br. Ambukeshwer Singh MBBS MD DM ) Mobile No. : 9889684024 General Ward 3rd/3rd Floor/400/1 INAIBASTI, MALIKPURA, CHAKSHAHMOHAMMADURFMALIKPURA, India 1 Diagn’ ‘Os 1v(1991). a. F with FVR>CVR was distedno clot Vitra valve was thick ,stenosed and calcified with severe SVP_Itwas excised and was replaced with 27 TDP using 2/0 ethibond “sutures interupted manner.RA was opened and TV annuloplasty was done. lure was performed through median stemotomy with the help of CPB, Blood cardioplegia at moderate hypothermia Itwas patent was admitted with complaint of DOE-II for last 6 monthageravation for last 10 days.She is known case of POST ] 1991 with mitral calcific restenosis with severe TR/Moderate PAH/AF.She was admitted here for Medical treatment+MVR | Pei osiclgue los sw inn nipping pinot pin aaa a 1 diuretics After medical stabilization patient was advised for MVR*TVA All sks and p /1224,Patien was extubtedsucceaily on 72Sam Postoperatively patient hid AR ively with IV Anti ahythmic's drugs After stabilization patient was sifted to ward onDIVINE HEART & MULTISPECIALTY HOSPITAL Dedicated To Health Care, Education & Research) ‘raj Khan iesttstonal ea, ‘Gon Nagy, Lucknow 10 (NDIA) PHONE 191572 2721001.95 PHONE : 9 5223511449 ye 5 29-Dec-2021 4:37 PM +: 9889684024 10-pee-2021 7:15 PM +e, Ambukeshwer Singh MBBS MO DM ) + General Ward 3rd/3td Floor/400/1 AL BASTI, MALIKPURA, CHAKSHANMOHAMMADURFMALIKPURA oda 72min 120/70 ak 12.93% on wom ait {life style advice to be followed : ‘of wound wth 10% Betadine station ance daly. ysiotherapy:- AS advised by physiotherapist onitor- BP, Heart rate Every week ch ano “Avoid heavy weight iting and strenuous exercise 15 days CBC ureaereatinine,serum eletolyte,CXR, PAB AUGMENTIN 625MG TWICE A DAY x5 DAYS _ TAB LEVOFLOX S00MG ONCE A DAY x5 DAYS ‘TAB DOXOBID 400MG 1/2 TAB TWICE A DAY ‘TAB ACITROM2MG ONCE A DAY AT NIGHT ‘TAB CORDARONE 100MG TWICE A DAY © TAB CALAPTIN 40MG THRICE A DAY “TAB DYTOR PLUS 10/25 ONCE A DAY ‘TAB DYTOR 10MG ONCE A DAY...4:00PM_- _ TAB SUPRADYN ONCE A DAY PAN 40 ONCE A DAY BEFORE BREAKFAST ALPRAX 0.5MG AT NIGHT COFOLZ TWICE A DAY ULTRACET ONCE A DAY AT NIGHT X 15 DAYS » of warninglEmergeney,when you should contact appropriate d of any chest pain fever, vomiting breathlessness contact on Mob. 9839012715, Tel-+91DIVINE HEART & MULTISPECIALTY HOSPITAL rn instution Dedicated To Health Care, Education & Research) (aM RAT UND : 1PONo ‘ia Knand Instutonal Ara, ‘Gomi Nagy, Luckrow-10 (INDIA) PHONE ; +91 5222721081-05, + 29-Dec-2021 4:37 sons jpec 2021 7:15 PH Decharse 52 te amuses ih MBBS NO OM) Mobile No. 684028 rd 314/310 Floor/400/1 i IkPURA, CHAKSHAHMOHAMMADUREMALIKPURA, India Xs wo i we "SIGN OF CONSULTANT : _ DRPANKAJ KUMAR SRIVASTAVA. General Wa GNIREMARKS BY ASSISTANT MEDICAL ‘SUPERINTENDENT /MEDICAL SUPERINTENDENT : a qentta we wh EA eS era ga aren ee / erm STS, aap eter Se HE OTT TAA WES caren fron ren By ote # pte: FT & ++ nd OF Report 4°MULTISPECIALTY HOSPITAL Phone. 452361403 EMERGENCY 9039012715 anni fv Heart Howpal & Research Cente Pt Lid) AABN CERTMED and stuns Ao DIVINE HEART & f een ") PHONE 101522272100. Patient Name: MRS. POONAM RAI ‘Age: 50 YRS/F Reg. No: 15/002684 Date: 13/12/21 usG WHOLE Liven = Enlarged in size 15.2em with homogeneous echo texture. Porta hepatis is normal No intra pat biay dtation seen, Portal vein srarmalindlameter. GALL SLADDER:- well distended, Walls are thin and regular. No obvious mass lesion / calculus seen, cap: Normal in caliber. No obvious calculus seen, PANCREAS:- Appears normal in size, shape and texture, MPD not dilated. No calcification seen. No peripancreatic collection is noted. SPLEEN: Appears normal in size, shape and texture. Splenic vein appears normal. B/LKIDNEYS:- Normal in size, shape, position and echotexture. Cortical & sinus echoes are normal, Pelvicalyceal system is not dilated. No calculus / mass lesion seen, Both ureters are normal Right kidney: 9.9x3.7em Left kidney-9.8x4.3 om URINARY BLADDER: Is normal in size, shape & filling, Walls are thin and regular. No obvious mass lesion / calculus / diverticulum seen, 'No free fluid is seen in the pouch of Douglas. Ve ‘Dr. Ankita Sachan_ MD Radiodiagnosis (CopputaatiBGiolbgisy NBS, MOF s0.5)) eg £6163 Divine Hest And Mulispealy Hoop IMPRESSION:- Mild hepatomegaly.MULTISPECIALTY HOSPITAL ree i czas PHONE +91 522 3511443 EMERGENCY 9839012715, Nes DIVINE HEART & f\ ss {An unit of Divine Heart Hospital & Research Conte Pvt.Ltd) Nag cERTIAED Ave pear ave UFE Pr Reg.No. 201502684 Age/Sex 50 F patient Name Mrs, Poonam Rai Date 11/12/2021 | D Dimensions Normal Dimensions Normal LVID(ED) 4.9 (3.6-5.2em) LVID(ES) 28 (2.3-3.9em) LVPW(ED) 1.1 (0.6-1.2cm) IVS(ED) 09 (0.6-1.2cm) Lvpw(s) 1.4 LVPW (8) Isis) 14 = EDV(Teich) 117.1 mi ESV (Teich) 31.4 ml EF 73 % (62%-85%) FS 42 %% (28%-42%) RVID (ED) (1.4-230m) RA Aorta 29 (2.1-3.7cm) Annulus: (2.1-3.7¢m) iC LA 5.5x6.1 (2.1-3.7¢m) Aorta/LA (1: 1.3em) A Mitral Valve Motion AMLDoming,PML Fixed Thickness AML/ Calcification Calcific Aortic Valve PMLthickened Cusp Opening 2.0 cm Thickness Normal Calcification Normal Flutter Tricuspid Valve Normal Pulmonary Valve Normal interventricular Septum Intact Interatrial Septum Intact Intracardiac Clot/Vegetation/Myxoma_ Nil Left Ventricle Normal RWMA ‘Absent Right Ventricle Normal Right Atrium Normal Left Atrium Dilated Pericardium —_ Normal Doppler Study Peak Vel Peak Grad MeanGrad End Grad. Valve Area ; mis mmm/g— m/l mmvHg om Mitral Valve : 23 16 "1 Aortic Valve no Tricuspid Valve TR Velocity we RVSP=47 Pulmonary Valve 08 Colour Flow Study Severe MR, Severe TR. Final Impression: Post / CMV -RHD / Severe Caleific MS / Severe MR / MV; PGMG=t8/ttmmtg S| a -No RWMA; LVEF =73%, lADilated, ~Severe TR, RVSP=47mmbg, No AR -No intracardiac clot7 Mass / PE J Veg vie lass / PE / Vegetal vineheartcentre@yahoo.com website : ww.dimica P MULTISPECIALTY HospiTaL coe “eure (An wait ot Divine Heart Metres owpital& Research Cant Pvt. Lid) EMERGENCY 9639012715 . Name -Mrs.toonam Rai AGEISEX ~ 50 Yrs/F Reg.No.~ CR/IS/002684 DATE ~ 11/12/2021 Ref, Dr. Ambukeshwar Singh (MBBS, MD, DM) GENERAL BLOOD PICTURE RBCs: Normocytic Normochromic with mild anisocytosis. wacs: TLC& DLC Id Within Normal limit, PLATELETS : Platelets are abequate and normal in morphology. PARASITE: No haemoparasite seen in Smear.DIVINE HEART & jv nsuonat ers. ‘Gomi Nogy, Lueknow-10 (NDIA) ; MULTISPECIALTY HOSPITAL PuoMe 01 za Z7zieet SS PHONE £191 522 951 ee (An Institution Dedicated To Health Care, Education & Research) PeeNcy 00012715 Department Of Cardiology Cardiac Catheter \d Angiography Report | Reg no-cR/21/002684 ‘Angio No-10896/21 Date-20/12/2021 Name-Mrs,Poonam Rai Age/Sex-S0yrs/F —_Consultant-Dr.Jayesh Sharma MO.DM Procedure-CART Clinical Diagnosis- Post-CMV ( 1991) / RHD Severe Calcific MS / Severe TR Sheath-6F Catheter Used-Tiger 5F 2 $ t 8 Procedure Detail: | Left Main(LMCA}NORMAL LAD-Normal DL D2 RE ‘LCs-Normal om q , om =F Dominance Circulation-Right - Dominant -RCA-NORMAL PD- pv. LV Angio- Not Done "Final Diagnosis- Normal Epicardial Coronaries “Recommendation- MVR +1VR Email: divineheartcentre@yahoo.com, WebsiteDIVINE HEART & Vea kand rts Ae 5, ‘Gam Nagr Lucknow 10 (INDIA) MULTISPECIALTY HOSPITAL Pie Es Sweex save ure ‘A nstittion Dedicated To HealthCare, Education & Research) | PHONE: 21 s22sa11443 Reg. No. 201502684 Age /Sex 50Y F Patient Name Mrs. Poonam Rai Date 27/12/2021 Cardiac Dimension: Dimensions Normal Dimensions Normal LID (ED) 548 (3.6-5.2cm) LVID(ES) 34 (2.3-3.9em) LVPW(ED) 08 (0.6-1.2cm) IVS(ED) 09 (0.6-1.20m) LVPW(S) 09 LVPW(s) Ivs(s) 17 EDV (Teich) 107.5 ml ESV (Teich) 47.4 ml EF 85% (62%-85%) FS 29° % (28%-42%) = RVID (ED) (1.4-2.3em) RA Aorta 33 (21-3 7em) Annulus (21-3.7em) LA 54 (2.1-3.7em) ‘Aorta/LA (4: 1.3m) Mitral Valve Motion Normal Thickness Normal Calcification Normal Aortic Valve Cusp Opening 12 cm Thickness Normal Calcification Normal Flutter Tricuspid Valve Normal Pulmonary Valve Normal Interventricular Septum Intact Interatrial Septum Intact Intracardiac CloVegetation/Myxoma Nil Left Ventricle Normal RWMA Absent Right Ventricle Normal Right Atrium — Normal Left Atrium Normal Pericardium — Normal > deppter study Peak Vel Peak Grad Mean Grad End Grad Valve Area mis ‘mmitig —mmitlg = mmiHig ema. Mitral Vaive : us 1 c Aortic Valve 13 Tricuspid Valve TR Velocity = ed Pulmonary Valve og Colour Flow Study Mild TR. Final Impression: Post / MVR + TVA -Normally functioning prosthetic heart valve at Mitral Pe Peak/Mean gradient=10/4mmHyg, I -No Valvular! Paravalvular Leak. -No RWMA; LVEF =55%, -LA Dilated. 3 “Mild TR, RVSP=36mmHg, No AR. -No intracardiac clot / Mass / PE / Vegetation. Vinod kumar Email : divineheartcentre@yahoo.com, Website :DIVINE HEART & MULTISPECIALTY HOSPITAL {Ao institution Dedicated To Health Care, Education & Research) 410 Mrs, POONAM RAT TPONe S0YRS Sex : Female ‘sample Collection Revortina Date HAEMATOLOGY + Dr, Ambukeshwer Sinah ‘Vira Khand naltsonal Areo-5 {Gem Nag, Lucknow (INDIA) [PHONE : +01 522 2721991.95, PHONE | +01 522 3811449 EMERGENCY - 9639012715 + ¢Ry/15/002604|315482 + 21/2466 + 29-Dec-2021 08:36 AM Result Reference Range ‘Unit Complete Blood Count{CBC) Haemoglobin 92 1348 Total Levcoeyte Count Differential Leucocyte Count Neutrophils Lymphocyte Eosinophils Monocytes Pratelet Count 7,100 4900-11000 55 4075 40 2545 03 07.06 02 2-40 233 1545 a7.a7 0-102 2032 Packed Coll Volume 3135 4965 100-65 50-100 [PROTHROMBIN TIME (PT) 106-134 RATIO International Normalised Ratio (INR) INTERPRETATION 1 PROLONGED PT ‘The most common causes of prolonged one-stage PTS are as follows: 4.) Adminstration of oral anticoagulant drugs Vitamin K antagonists) % % % % Lakhs/oumm ext i paicell ‘oval miliontev.mm. * at