49  years 
DM   1.5
HTN   12
RHEUMATOID  ARTHRITIS . 
SINGLE KIDNEY    :   BASE LINE CREATINE   1 

MEDICATIONS 
ZIICAL 
INFLICTA
SITAGLUMET   850 MG  /50 
VALSAN  160 
CONCOR  2.5 
MTX   2 5 MCG 
ENBRIL 50 
PREDNISONE  5 MG    STOPPED   SINCE  tHE LAST   FEW  MONTHS


NO NEW COMPLAINS 
PLAN 
ADD  INFLICTA 
ADD  DEE  DENSE 


SHE CAME  AFTER R AMADAN  WITH CREATIINE   1.4  F ROM BASE LINE   1 
SHE FOUND TO HAVE BREST  ABSCESS AND  LUMP 
SHE HAD ASPIRATION AND IT WAS SENSITIVE TO AUGMANTIN   500 MG 1X3 
SHE WAS  DISCAHRGED ON 
AUGMANTIN AND   BIOSOLVE 
TO FOLLOW THE  BREST LUMP  THIS MONDAY  IF SHE   HAS  UNDERLYNING   INFLAMMATORY TUMOR