82  years old female patient 
before  6 months she  has  abdominal pain 
she  sought medical advice   by dr  hazem alshhab and she has  diudinitis and she had  anal  fissure 
since then she has  generalzed wekaness and    sob 

she  sought medical  advice   by dr malik maswadah and   she  found to have af  and she needed  c cath and   found to have creatinine  2.5 

for  which she was sent  to us 

wbc    9.5  hgb    13   plt    205
creatiine   2.4 
urea  106      from normal  up to  49 
k  4.2 
sodium     137
uric acid     9.7  
ha1c     5.4
ldl  81
urine analysis shwoed   trace protein and no    rbc
ferritin     285     tsh    50


echo  was dsinbe   normal size and  ejection fraction  55% 
atrial fibrilation


plan 
hold  diocan 
hold conconr 
add c arvidelol 
add  vit d 
add zimical 
add   biosolve
rtc aafter  2 weeks 