57     57 years old male pt 
free past medical hsitory 
before  10 days he has    c cath was  done and showed   normal coronaries 
lerysh syndrome    and  dr  raed asked for  ct angio 



creatinine   was done outsdei  was  1.3    and after  few  days  it  was   1.4 mg /dl

medications 
zympass    20/10
asa  100 mg ocne
xarelto   stopped
pletal    100 mg once 

plavix  75  mg   stopped
famodin   10 mg once


plan 
cIN  risk    7.5  % 

dee  dense   200  
vit  c 