52   yers old mle pteint 
he had  ezcema on the fingers
askked to do  creatinine 

he had  creatinine  
1.09 gfr  77
repeted  labs  showed creatinine  1.3 

other wise he is  doing well 
no new complains 

he was seen and   evalauted   by dr  hassona 



today he came for follow up 
abdominal us  showed   showed  increase  echogenecity 
