  before   2 weeks 
hehad  bronchitis 
started on meropnm and  he had  pelral effusion pulmonary edema 
echo was done    and showed 

crp 18 
creatinine   5  .2   the same 
hgb 9 
fenject    was  give  20/8 

ef    41septa  apicaland anteruior hypokinesia


plan 
referral fornPD 