60   years old male 
DM X  25  YEARS 
HTN X30 
DLD   X20 
C CATH  2003   NORMAL 



2023   He  suffered from needle  stick 
staph  infectio 
9/2023   ampution for finger 

moxifloxacin   and tavanic 
and he  received vancomycin    for the 
1/2024  creatinine  1.3  mg/dl 

hba1c   7.3 
he sought medical advice at dr  malik maswadah 

medication 
carvildol 12.5  2x2 
cyn0.4  once sitaglumet  50 mg ocne 
amaryl 2 mg ocne 
lantus  20 mg once 
liponil  40 mg once 
asa  100 mg once 
calcium  600 mg 
alfacal 0.25 mg once 
lasix   40 mg once 

creatinien  12/2024  2.7 mg/dl 
2.2 mg/dl 

labs  was done and showed creatinine   3.7 mg/dl
wbc12,5   hgb12.1  plt236
creatinine  3,7


plan 
renal   us 
do labs 
stop cyny 
stop  amaryl 
stop lasix 
add  calcium 
alfacal 
amicor 
cadex 
