61   years old male opt 
known to have    hyperteisnon   x7 
dm 6  years  

traqsvers  colon cancer and   he is status post colectomy
ihd   sten  before    6  eyars ago after s table angina 
before   5  months hduring ramadan he   fasted   and he developed  decreased level of consciousness and he  developed   acute kdinehy injury and 
he  was seen  by  dr  hiba  albarghothi and she was   and  the creatinine was  4,9 mg/dl 

medications 
lantus   8
novorapid   7  iu before  each meals 
asa  100 mg once 
carvidelol  12.5 mg  1x2 
osmoadalat  30 mg 1x2 
calcium carbonate  600 mg 1x3 
alfacal once daily 
aransp   once   bi weekly 
sodium bicarbonate  500 mg 1x3 
ferrous  fumarate   1x1

on exam 
bp  140/70    hr  70 
trace lwoer limbs edema  
 