62   years old femal ept 
known to have  DM  FOR THE LAST  4  YEARS 
HYPERTENSION FOR THE LAST   4  YEARS 
RHEUMATOID ARTHRITIS  FOR THE LAST   20 YEARS 
DISCOPATHY 

FIRST VISIT  SHOWED  NO PROTEINURIA 
NO HEMATURIA 


SECOND VISIT 

MEDICATIONS 
FORXIGA   10 MG ONCE 
DIOVAN   80 MG OCNE 
ARAVA   20 MG ONCE 
CIPROFLOXACIN    500 MG 1X2 
ACAMOL 
EMPAGLIFLOZIN 
FILRINON
IRON
CONCOR   2.5 MG ONCE 
ALFLAZACORT   30 MG  HALF  TAB DAILY 
EUCREASE   50/1000
GABEPANTIN   300 MG ONCE 
FOLIC ACID 
AMICOR  5 MG ONCE \

LABS   ON 6/11  SHOWED    WBC  10    HGB   8.2     PLT     278
CREATININE   1.6 
ALT  NORMAL HGB  7,7
URINE  CLEAR 


ESR  90 
CREATININE   1.8 
URIC  ACID  5.2 
  ALBUMIN/ CREATININE    73  MG 
ALBUMIN  3.1 
SODIUM  125 
K   4,4   PHOSPHORUS     3.6 
CALCIUM       1.1 
MAGNESIUM  0.44 


ABSCESS  CULTURE   SHOWED     STAPH  AUREAS 


RENAL US  SHOWED    RIGHT  KIDNEY  9.3    LEFT  KIDNEY   12.5   CM 

OTHER  WISE  NORMAL 
LOSS  OF  CORTICOMEDULLARY DIFF 