73  years old male 
past medical history   free   dld 

prostat   follow up 
he  has  nucturia 
mild frequncy 
no  weight loss 
no  bone   pain 

he  has   cva   before  2  months 

he  found to have  hgh  creatinine level 
1.8   8/224 
increased to  2.2   1   2025 
ldl    72 
alt   36 
ast   26
uric   6.6

plan 
add amicor 
add  alfacal 
add   vitamix 

rtc after one month after doing  labs and  renal us 

impression  renal scelerosis  from hypeetension 
