aortic  valve replacemnt  befr  27  years   and she was doing  well
she has  hematuria 
she   found to have dm for the last   4  years 
she was seen    by dr   abdulwadood   and    he stopped the  dm medication 


she was admitted to the hospital  with acute kidney injury before  3  years and   the   creatinine improved from 7  to 4 
 creatinine   backed to  4  then  imprved  to  2,5 mg   after one months 

she  sought dr  dwand  alarda   the      creatinine improved to  1.3  
then   she was maintied on prednisone 

9-2025   dr  rawand  askked her to continue s teriod  therapy 

before  1  months  she  suffered from dizziness and  then she  found to have   creatinien  5   mg/dl 
then  car accidant 

5/3/2026  ahmad  atana asked to her to stop  prednisone 

not allowed to fast  during  ramadan 

medication 
amicor 5 mg once \warfarion   7.5 
concor   2.5 
lipidex   40 mg once \nexium    40 mg once 
siran 
prednisone    40 mg once 


plan 
re
