59  YEARS   OLD FEMALE  PT 
HTN   X   20 
DISCIOPATHY  FOR THE LAST   2 YEARS 
NO   DM 


RENAL DISEASE     
2  YEARS AGO   SHE   FOUND TO HAVE  LEFT SIDE PAIN AND SHE   UNDERWENT   RENALUS   AND SHOWED   FOUND TO HAVE   LEFT SIDE  HYDRONEPHROSIS   AND  SHE  UNDERWENT   3  TIMES   DJS   AND SHE   UNDERWENT     LITHOTRIPSY 


SHE WAS PLANNED FOR  GASTRIC  BYPASS 

SEH WAS REFERRED  OR  NEPHROAPTHY  EVALAUTION BEFORE  P[ERATION 

DMSA  SCAN SHWOED   SMALL AND VERY POOR    FUNTIONING    EFT KDIENY 
ENLARGED AND WELL FUNCTIONING   SCARRED   RIGHT KIDNEY 
LABS  SIN        1/2025  SHOWED      WBC 9     HGB        127     PLT    241
CREATININE  O,87
BUN  16.8
URINE ANALYSIS SHOWED NO   PROTEINURIA AND    NO HEMATURIA 
HIGH WBC 

MEDICATION 
CO  DIOVAN 

PLAN 
ADD  NIFIDIPIN 
ADD   CARVIDELOL 
PLAN 
TO GO  FOR  SURGERY 
RTC AFTER  2 WEEKS 