
60  Years old male patient 
known to have  hypernteison for the last  4  years
dm for the last   4  years 
no ischemic heart   disease  
dld   

before one week  he  has   genralzed weakness and vmiting   and the n   he   sufffered  
je  sought medical adice  and he had  uti and   foundto


abdomina, us  normal, but  finindg  suggestive nephritis no echopattern

medication 
janeut  50/100p 
macrofuran
nexium  40 mg once 
vasadipoin   hct 
cadex 
concor   5  mg once
cadex  4 x2 
carvidelol 12.5 mg 1x2 
lantus 
galvus 
stop  valsadipin  hct 
stop  janeut 

rtc after one months