  37   years old  female  pt 
she has  hypertension 
family hisoptry  for  heart disease 
she  sought medical advice by   out patient and  she   was referred     for  coronary ct  angio  that   is normal 

she  found to have  gerd 
creatinine  0.9    
wbc     8.3   hgb     13.8  plt    318
tsh   3.88 
bun 21 

she has  arthopathy   before  many years 

pln 
secondary   hypertension work up 
abdominal  us 
24 hours  urine   collection for  vma  and metanephrocx 
abdomoina  ct 