37   years old   male pt 
knonw to have  family hsitory for  cad 
discopathy before 1  years 


he is complaing  from chest pain and he  sought medical adice  by dr  izzat  rajabui  and    he  found to have creatinine of  2  before   25/5 

he  repeated   the test   after  few  days and then   the creatinine was  1.3 mg/dl 


he  has  family history for renal disease  as his  father  died  due to   renal failure 

no  joint pian 
he has  lower limnbs  pains 
no lower  limbs  edema 
he has   recurrent  skin abcesses 
he has  histency and he has  necuria 

he was sent by dr izzat and rajabu  for nephrology fittness 

vital signs 
bp 127/100 

lab showed   esr 7 
crp  6
cbc nromal 
creatinie  1.3  urine analysis as the patient claim it  was  normal 
however  i  will repeat the   creatinne    urine protnien /creatinine 
 and  i  well ask  for  abdominal us 

reevaution for  the   fittness after the labs  
