68  years old male pt 
knonw to have  DM  for last   10  years 
hTN   for the last  25  years 
dLD 
ISCHEMIC HEART DISEASE  AT ALMIZAN HOSPITAL 
GOUT 
CONGINITAL SINGLE KIDNEY   SINCE  1980  DIAGNOSED 


BEFORE 1  YEAR   IS CREATININE WAS NORE THAN 2 

YESTERDAY HE   HE HAD  BLOODY SPUTUM       HE HAD CHEST X  RAY AND THEN CHEST  CT WAS ASKED 
THEN   HE  HAS  CREATINIE  2.2      FOR  WHICH HE CAME  TO US 

HE HAD   CHEST  CT  WITH IV  CONTRAST   TODAY AND THEN HE WAS SENT  TO US 

MEDICATION 
LIPITOR  40 MG ONCE 
AMLODIPIN  5 MG 1X2 
PLAVIX  75 MG OCNE 
SEMEGLEE  12 IU ONCE  DAILY 


CRP NEGATIVE
WBC   8,7  HJGB13,7
PLT  180
CREATININE   2.2


BP  170/90 

PLAN 
ADD  CADEX   4 MG ONCE 
INFLICTA  10 MG ONCE 
CALCIMORE 
ALFACAL 

DO LABS AND THEN REEVALAUTION AFTER  3  WEEKS 