62   male patient 
knownt o have DM   For  last   30 years 
htn  for the last   30 years 
dld 
not  known to have ischemic heart disease 
ischemci stroke previously 
ckd 
s/p amputation on the  toes

24/12      he was admitted   to alahi  hospital as case pt   myocardial infaction and his creatinine  found to be  5 mg/dl 
hgb  

14/1/2025   mi   his creatinine was   4 mg/dl 


medications
asa  100 mg once 
lasix   40 mg 1x1 
concor   5 mg once 
amicor   5 mg once 


plan 
us   for the kidnehy 
echo ?? 
labs  and  reevauation

before   2  days   he  started to have  creatinine  of 8.5 mg/dl 

fasted     17  days    without  any improvement    his creatinine  8,5 mg/dl