69  years old female pt 
known to have DM X5
HTN X26
 DLD   
GOUT 
HYPOTHYROIDISIM
PRESENTED WITH   CREATININE  1.7


PLAN 
ADD   EXFORG 
ADD  J DEE 
ADD  REVILAX 
ADD DEFLAZACORT 

RTC AFTER  2 WEEKS AFTER  DOING ABDOMINAL   US AND  LABS 
