44 years old female pt 
dm  for the alst     10  years 
htn for the last  18 years   after  preclmpsia 
ttp    2009   at almakassed hospital    after pregnancy 


she was  referred   from dr  laith 
she has  vasculopathy 
 before  one year   she has  littil  toe  pain and she   was diagnosed  with diabetic foor 
seen by dr humam  aldumiri  and  aputation 
she has  rhymoid  phenomenmon 

she was  seen by tamer shawer  and then she was refffered   for  dr laith 
creatinien  1.8
alt   8 
ldl  101 
bun    43 
ast  16
a1c   7.2
wbc 6.4  hgb10.8  plt  127
esr  307/4    2.2 
ana   negative
urine protein  plus 2 
wbc  10-12
creatinine   7-4  2.2