65    Years   old    female 
  knonw to have  HTN    for the last   4     years   
dLD     
normal   coronaries 
rapid AF 
CKD    creatinine   1.1    creatinine  1.4      

she was  referred   from dr asraf      for the rise in creatrinien   1  ,4 

echo showed   normal  lv  size     mild   LVH  60%      NROMAL rv  


medications 
concor       5 mg once 
exforg   160/5 mg ocne 
quest      5  mg 1x2 
contralox     20 mg ocne 
crestor    10 mg once 
aldactone    25 mg once 


abdominal us  shwoed       rigth 11     right  11.5 
left renal cyst   cortical    cyst  2,5  cm   seen at the lwoer  pole   tiny  left  gravel