She has   back pain and right flank pain  radaited tot he leg and she  received  nervwntin  25/1    without  much improveemtn 
she has    mri  that showed  minor  fractire ont he hip pain 


she   received  tramal    50 mg once daily n after one   day she received another tab with improvement of her condition   but  then it  was  not  reposing   for whichs he  stopped  tramal 

she  received  collagen and im injection   of steriod  with   mild imprvement of her condition 



labs  in 19-1   showed    hgb  15    wbc    20  plt    34
hba1c  5.4
creatinine  1,4   bun  32 
ast  17  alt    29 
uric acid   6,6 
ldl  219 
potassium      4.8
iron /tibc     7000/25
esr  35
tsh    0.7
pth   37
c3  c4  normal
tac  3.2
vit  d    32 
vit  b12      274


hip  mri  showed  right  sacral  insuffecency  fracuter 
osteoporosis 
creatinine  1.05
bun  18 

urine  protein/creatinine  ratio   6400 

medciation 
valsan  160 
empa    20 mg once 
liponil  40 mg once 
prograf  2   ama nd  1  pm 
prednsione  15  currently 
cocnor   7.5 mg once 