  41  years old female   pt 
known to   have  psoriasis     she  received  biological treatemtn 
she received   prednisone and  lorax    for  chest   asthma 


she is known to have  hypertension since the  age of   34 
she  didnot   has  preeclampsia     but  she has  hypertension  exacerbation duting  pregancy
DLD 

medication 
vasadipin  80/5 
aspirin  100 mg once 
j 


She  visited  dr ashraf and   she  found to have proteinuria 
echo was  done and it  showed  normal lv 
pcr    650
urine analysis  no RBCs

wbc  7.7   hgb  15  plt  347
creatinie  1
fbs   96
ldl   180
na  138   k   4   cl  108
tsh  2
ferritin  30

abdominal us     showed norma kidney  size and echogenecity 

plan 
add   diovan 
do labs 
do  jak 2  mutation 
do  c3  c4  ana    esr  other labs