Ø«ØµØµ5     days ago  he suffered   from  sob  for  10 days  assocaited with geerlazed   weakness 

   another attacks  on the same    day  along with  chest tightness 

  and   then  he suffered  from  decrease  level of consciusness 

he  found to have  pulmonary edema 

generalzed weakness 
lower limbs   edema   for the 3  months 
no itching 
no nausea  or vomiting 
nocturia 

family history  for  dialysis 
no history for   kidney biopsy 


plan 
reevalaution after one week after  doing labs and  abdominal us