60    years   old  feale 
pt 
HTN    DM   and she was maintained on exforg and amaryl with metfomin 


before   3  months  she started to have  lower limbs edema   leading to  ulceration 
  

she  sought mdiak avice  at  dr ayed and  she was  prescriped   arbozide and  sitaglumet 


  then   after doing labs and echo she was prescriped 
cadex 
rosolip 
concor   2.5  
nifipidin 
inflicta
sitaglu  
asa 
augmatin 
optalgin 
lasix   1x1


plan 
add  aransp 
add ferrous 
make  nifidipin once 
add  cadex   x2 
lasix   1x2   for  3  days  then  ocne daily 
artc after  2  weeks 