41  years old female pt 
previous  hypertension 
not  knonw to have  have   any medical  problem 
normal  delivery 


lower limbs e dema  for the last  2  years 

no  stigmata  for  chronic 
wbc   10  hgb    12,5   plt   342
uric acud    4.6
fbs  103
crea0.7 
sodium   145
k 5
chlo 103
tsh 3,4

hematuria   +3   blood  and 70  rbc 


abdominal us  shwoed   noral  size of the kidney  no   stone  
no cyst 
urine bladder normal 

plan 
add   co  diovan 
do autoimmuen profile 


plan 
litoya    plus 
c0  diovan 
