39   years old male pt 
he has   dizziness and loss of conscocentation for the last   1  year 
his blood  pressure  was  195/110 
he was  prescriped  codiovan    and his creatinine  increased    for  which he   was  switched to amicor 
and he found to have dyslipidemia 

he is  working   as  seller 
family history  unremarkable  for  any renal disease 
he has    family history for  hypertnesion at  young  age 

no joint pain 
no  morning stiffness 
no skin rash 

labs was done and showed 
wbc  8.3  hgb 14  plt  233
creatinine  1.88    na  136  k     4.2    uric acid  8,2    ast  21   alt    21   esr  35    rf  neagtive 
ldl   231 
he has  plus  1  protein and   hematuria     10-12 
tsh   2.17   and    ha1c    5.3 

repeated  cretinine   1.4-1.9 


bp   160/99

he ha  been maintaine don amicor  5 mg  1x2 

plan 
renal us 
work up 
