63 years  old male pt 
DM   X 2017 
HTN   X2017 
DLD  X  2017 

2021     he has exertional SOB   and he   found to   hve lung infiltration   corona 
then he was doing well

   rmadan  2024  he   fasted  and  he was coloaning  from  generalzed weakness and he was admitted to alia hospital  as a case of chest infection 

this  years   after  fasting he had  sob    and  generalzed  weakness 

before   2 weeks  he was admitted todora hospital 

creatinine   3.39 
bun 94 
k 5.7
wbc  9.3 hgb 12.9
creatininie   21/3  2.9

creatinine    10/4    hgb  12.2      wbc   6.5  p,t171
urine analysis shwoed no  protein  nd no      wbc
serum creatinine   10/4   3.5

abdominal us  showed 
normal size and shape  and no  chronic  chanes 


medication 

ultibro    110/50
asa 100 mg once
lasix  40 mg 1x2
sitglu  50 mg once
alloril  100 mg ocne
lipitor  40 mg once 
aricard   12.5 mg 1x2 

olmisartan   20/12.5
add  alfacal 
add  calcium 
stop almesartan   hct 
add  biosolve 
add  amicor   
rtc after   3 weeks 