37    years old femle pt 
known to have primary infertility 
she  has   ivf  and she lost her baby  recently   in 2025 
she  had  preeclampsia     for which she has   urgent CS 
she   came for  follow up 




she was  prednisone  20 mg   1x2 
she has  hba1c   6 
she was on insulin    15    +15 


she has  reguelr  follow up  her blood  pressue   100/70 
  at  26  week  she  started to have  high blood pressue   and she  found to have   trace  protein    in urine 

  she was admitted and  then she w as   maintained on trandate 

at the   30  week    protein  +1 


she  hsa  recent labs   that showed 
creatinine  1
bun  23 
uric  acid    5.1 
ast   24 
alt    30 
crp neagtive
cbc   shwoed     wnc   5.6   hgb       10.5  plt      348


medication 
thyroxin   150 mcy 
blood  pressure at  home  135/85 


plan 
add glucophage 
add concor 