67    years old male patinetr 
knonw to have  dm for the last   3  years 
hypernteison for the last   4  years 
ischemic cardiomyopathy

referredl  from  dr  abuallan   from alzahria   as  his creatinie n jumped to   3.9 
wbc    7,1   hgb   13   plt     193
creatinine  2.7 
alt   254
0/2/2026   creatinine  2
no proteinuria

plan 
concor   5 mg once daily 
amoidarone    200 mgnonce 
asa  100 mg once 
clopedrorel   75 mg once 
juvesta 
liponil 
nexium 
lasix  40 
hold entersto and ho,d  forxiga 

plan 
rtc after   2 weeks 
add alfacal 
add  rest  q 
add  amcirot 
rtc after  2 weeks 