49 years old female 
2  years ago  she has  abdominal pain  and she   has obstrutive uropathy  as  she has  uretric stone 
seen by dr hamad  hind  and  he       she underwent   left nephrectomy  befoe   1,5  years 
at   that  time   creatinine   1.7 


before   16   years   she has  urine incotenet   after  delivery and she had  bladder  fistula and she  had  cystoscopy 

and  then she had  ilial  conduet 

fistula in the bladder 
complex   fistula repeat  and  cystescopy 


last urine analysis   in  7/5/2025   showed  bacteria  +1  
wbc  28-30
esr  27 
crp  10 
wbc   7,4  hgb   12.9   plt      244

medication 
asa  100 mg once 
magnesium   tab daily 


creatinien  1.2   before  2  weeks 

plan 

to  do renal us 
to  do lab and then reevalaution 
