44  years old femlae patinet 
duering the last  pregnancy before  9 years    she  suffered from  hypertensionand  dm 
the   hypertnesion remains 


medication 
codiopvan 80/12.5  
hypothyroidisk    200 mcg   once 
  

  for the last    few years she  has  heamturia and  proteinuria   and she was  on 
dr  muhammed albiurini   and she   found   to have  congenetal anomalies  on the kidney  and she has  back pain 

cortisone  0.66
creatinine  0.8 
ast    27 
alt  28 
bun  14
tsh  3,3
wbc    16  hgb  11  plt     198
urine anals\ysis  sowed  proteinuria   plus  3 
wbc   8-10 
rbc   over  100 


plan 
urine  for   cast 
urine protein/creatinine r ation 
esr 
to   brig   the old  file 