59  years old female pt 
Known to have DM for the last  years 
  HTN    x  7  years 
Hypothyroidism    s/p   thyroidectomy before   9 years 
tachycardia 
lower limbs  edema  and she  found to have  pulmonary edema   and hypoalbuminemia 

urine analysis showed   wbc  15-20   wbc   +3
abdominal us  unremarkable 

crea0.5
albumin 3.2
calcium 8.9wbc11,5
tsj 13


medciation 
mepra  20 mg ocne
valsan  hct  160/12.5 
diabet   850 mg 
inflicta   10 mg 
asa   100 
lipitor  40 mg 
cocnor   5 mg once
thyroxin  100  5/7    

pla
kerendia   n 
10 mg once  daily
zinnat    500 mg 1x2 
rtc  after  donig  labs    kft   urine analysis 