69  years old male 
DM  X 30
hTN X25
DLD  
NO   GOUTH
C CATH  2015
2018   acute kidney injury    2.5 mg /dl    improved to 1.7 
cHF   LAST

preseneted with    numbness and headache and left  arm   numbness 
fever and chills 

no dysuria 

medications 
l dopa 250  2x2 
asa  100 mg ocne 
mepral   20 mg ocne 
lipitor   40 mg ocne 
lasix   40 mg 2  tab    prn 
mixtard  15    
nph 20 


brain CT was sone and showed left  posteriod  parietal  bone  lytic  elasion likely suggestive  of  multiple  myeloam a 
right  orbital  calcification 
otherwise  the  reminder   of the  study  is unreamrakble 

plan 
do      spine  CT  or  MRI 
do  prostate  us  
do pSA 
Spine CT 
Proteinen electrophoresis 
urine protein 


reevaluation after labs 