85   Years old female patrinet 
knonw to have anemia  and she   underwent   git  work up and she    received blood   many times 

she has  lower limbs edema  for the last   one months
she  sought medical advice  at  dr malika dn she     found to  have  creatinien  1.8 

she is  kidney donor    before   35  years and she   who  died 



echo was done and showed   ejection fraction   55% 
she has  diastolic  dynsfucntion  grad  3 
normal lv  size and fucntion 
she has  heavly calcified  aortic  valve  and  moderate   lvh 
sever  aortic  stenisis 

she needs   TAVI

wbc    5,2   hgb     7.2  plt      226
albumin   3.8 
creatinine  1.8
bun     30 
serum sodium   136   k      4.7      cl  107
tsh   3.3
urine analysis sowed    normnal  study


medciations 
concor    5 mg ocne 
telmisartan    80 mg ocne 
crestor    20 
eucrease   50/10000