71 years old   male pateint 

dm for the last 20 
htn  for the last   20 
bph 
ischemic heart disease 
stent  on the carotid  nd  sten on the peripheral  system 
and  more than 5  sten on the heart 
ejection  fraction  60%  before    2  months 

in november   2024    his  creatinien  was 0.9 

he d eveleped   chest  infection and he  was admitted to the hospital and he was  given prednisone and then  he  started to have   epigastric pain and   and he  continue  to have  azithromycin and  klacid 
he was admitted tot he hospiital   for  3  days and then he    had a   labs that showed 

12/10 
hgb  13         wbc  12   plt   174
inr  5.7
creatinine  1.9
bun 44 
crp  27 
na  143   k    3.8  cl    98



12/2025       cbc  showed  wbc   7,6  hg    12   plt 192
crp  21
creat  1,6
bun 31
k 4,3

before   2  days     creatinien  1.5  
crp   1.76

medication 
coymadin 
nifidipin 
cadex  4 mg once  monocord  20 mg     half  tab  x2 

carvidelol   12.5 mg 12 
forxiga  10 mg once 
plavix   75 mg ocne 
pantover   20 
atozet       40/10 


plan 
add  res  q 10 
add  j dee  
add  apidra 
rtc after one month