Dr. CHETHANA DHARMAPALAIAH Aster KC NO 62612 'MBBS(2001), MRCP(2006), CCT (Rheumatciogy}2013) CMI HOSPITAL Consultant We'll Treat You Wel OP Summary Insts roosscase rama: fc, seorny oman foioie nace/rine: [oa/s0/2023, 2.3504 lGender/age: —— |uaie/29 ve 2 wen [ooctor los. cunzwana Joepartment <—|niEOUATOLOG na Days MARHAPALATAN ALLERGIES No Allergies. DOCTOR PROGRESS NOTE sym Referred by Dr Zankhana Buch Seroposive RA (RF 48, ant CCP 57) Recurrent Scietis Since Abt 23-LE Slits, sorte Being treated at Sakra and Narayana Netralaya. Intl MTX- rasan, ar WT + LEF CaentyonPresnislone rg 00, MTX 11g week Amana Ong S1C- one in 2 weak taken 2 far Nat much improvement No arta sow Aso has Norecuren sinus. No woth ss Aene++ No lter vase symptoms 28/823 ANUCC® 57, Ayal P ANCA ps, MPO and PRS ng 19/7123 ESR 20 ORP <5 HIV 182 Neg HBsAg Neg HCV Neg TPHA Neg RF 48.50 ANA IF Neg 819/23 Urine NAD CREAT 0.93 HB 1637 13 PLT233 ESR 11 2073 SGPT 99 OE BP 120/80 WT 9tkg Tendemesst* over sinuses LE Salers Niteise Joints NAD ame Contre Steroids os par OpleTadnneQergast Discussed Rituximab -to plan after 2 weeks (last ADA in taken on 1/10/23) to restart Blood test - 10 days - LET =f normal 5 1H8 uM 500M 1.0.9 1 Wook ‘eS ew, now Azer Road NOx Puneatn Rar Stat Nap, Benga, Karaka S003, Tel 918046474047, Enerency Care $a ee omareny cra suronstt comma oeeap ni Page a2‘hen. 500mg 1.0.1 1 week Zeeks - Blood tes!- CAG, ESR, LET Admit 1 1 Solumecrol 125m IN 400m normal saline over 10min 2. IV PARACETAMOL 16 INU STAT 3. INJAVIL 25MG IV STAT 4 INJ RITUXIREL RN 500MG in 250m norm: To start at 25m per hour in 1st hour ‘salina over 3 hours thon, 50m! per hour in 2nd hour then, 75m! per hour in 3rd hour 100m per hour theater ‘Torepeatinfusion after 2weeks ‘MBBS(2001), MRCP(2006), CCT (Rheum: Dr. CHETHANA DHA MBBSMRCP (intemal MRCP, CCT Rheumalll KMC - 62843 Aster CMi Hospital, 256g SEH Sate 22, new aeoeRoad 7, by Punt Rakamar Ra, Sanakar Napa, Banal, Kotak 560002, Caro. +91-80-46474047, emergency cmgasiemcepal comuwwastemosp