45   years old male Patient 
dm  for the last   12    years 
hyertension for the last  6  years 
retinnopathy  on reguler  follow up  at  almuhatased 
DLD     with hypertrigleceridemia 
chronic kidney disease 


17-9-2025    he had  chest pain and  it was 
troponine   was not done 
ecg   was    anterior     changes 
echo was done and   normal 
c cath was done  and it  showed  free   limit 


2.4    17-9 
2.6    18-9 
3.6      after   5  days    22-9 


he  contacted   dr  bilal  and  he was  taking  fluid    for  3  days  and then it  was improved to    3.2   26-9 
27-9   creatinine    3,6
k5.1

renal us  was   normal 
uric acid   was   10 and  then Improved  to 8.5 


medications
asa  100 mg ocne 
cocnorn   5 mg ocne 
ezomax      20 mg ocne 
resetemib    40/10  mg  once 
amicir    5 mg 1x2 
forxiga  10 mg once 
sitaglu  50 mg once 
siran  200 mg  1x2