46    
2012  HE  NOTICE    PROTEINURIA   FOR WHICH    HE HAD KDINEY BIOPSY  
BY DR RYAD SAED FSGS
PROTEINURIA 3 GRAM
IFTA AT THAT TIME  20%

IN 2021  HE   THYROIOD  CARCIMONA   AND HE HAD  RADICAL THYROIDECTOMY 

BEFORE ONE MONTH HE HAD  C CATH    AND STENTING 

CREATIINE   WHEN HE   PRESENTED T OALAHLI HOSPTAL WAS  3,7   AND THEN    3,1 

YESTERDAY HIS CREATININE  5,7 

MEDICATIONS
ASPIRIN  100 MG ONCE 
PIOGLITAZONE 
CONCONR  5 MG OC NE N PLAVIX   75 MG OCNE 
CADEX    4 MG ONCE 
THYROXIN  300  MCG ONCE DAILY 
CACLIUM  600 MG OCNE 
ATOZET  40/10 
TWYNSTA     TELMSARTAN AND AMLIDIPIN  OCNE DAILY 
FABURIC  ONCE DAILY 


PLAN 
STOP  ARB
STOP  SGLTI 
ADD CADEX 
ANIFIDIPIN   60  MG  1X2 
