59     years old  female pt 
known to have  dm    for the last   4    years f
htn  for the last  2  years    improved 
chronic kidney disease    base line   1,9   and  2   at the peak 
falling  down she has  left a rm fracture 
she  developed    neck  swelling   for which she has   has   fna  
she neded  operation   for which she  found to have  cratinien  1.29    and they  send  her  for  further  evalaution 


renal us   normal 
creatinine  1,2-1,4 

plan 
she  can go for  surgery with mild risk 
hold  inflicta and lasix  one  day before  surgery 
rtc after  one week of the surgery 

thanks