62    years old female pateint 
known to have   gouty arthritis 
she is knonw to have  hypothyroidism 
dyslipidemia 
hypertension for the last   7  years 
chronic  kidney disease    before  8 years  she  found to have   git bleeding anfd  she  found to have   anemia   hgb 5   then she      found  to have   sever anemia   5/11/2025  she  had  endoscopy   and she  found  to have 

she  found to have  creatinien  1,8   to  2 
she  has   untruly explained   anemia 
she has   negative   stool  for ocult  blood 

plan 
aransp 
iron 
ct  without  iv  contrast 
rtc after one weke 
