    72  yEARS OLD FEMALE PATEINT 
KNOWNT O HAVE     DM FOR THE LAST   20   YEARS 
OPEN HEART  CABG 
DLD 


SHE   WAS REFERERD TO US  FOR THE FINING FOR  CRATINIE  1.7 
RENAL US SHOWED  BOTH KD EY ARE  NORML IN SIZ AND  SHAPE  WITH ECHOGENECITY  PRESEVRED  CORTICOMEDULLARY  DIFF     WITHOUT  EVIDANCE OF   STONE AND     HYDRONEPHRITS 
RI  FOR THE   RENAL  ARTETIES      ARE  INCREWAED  NOSTLY SECONDARY TO RIGISITY AND LOOS OF THE LELSTICTY   AND

C C ATH SHED    S=PATENT ILIMA  TO LABS  AND  PATERN  SVG  TO PDA 

MEDICATION 
ASA

 CRP 13
TSH 6
VIT D     10 
B 12 600
HGB 10 
CREAT  1.7
URIC ACID9
AST  ALT  NORMAL
K 5.8

PLAN 
ADD     J  DEE 
ADD  RES  Q  10 
HOLD  MEFORTNIN ONE  DOSE 
MAKE  TRITACE  1.25 
TO BE REEVALUTED BY D R  ALI=YA
FERRITIN    5TSH 61  100  G ONCE 
PLAVIX  75 MGONCE 
PANTOVER     40 MG OCNE 
LIPONIL  40 MG ONCE   CONCORN  4  MG OCNE 
TRITACE    2.5 MG OCNE 
FORXIGA   10 MG  ONCE 
LASIX  20 MG OCNEN
CREATININE  1.5 