50     years   old  male pt 
before  15  years  he had  gout   and the  he  found to have proteinuria 
2014   igA  famelial  at  that time creatinine was   1,3 

2014  untill   2022   he  cad  c cath   with diluted  sample     and then  the creatonoe  reached  1.9-2 

4/2025   it  was  2.7 
kidney biopsy w as ordered but the pateint   refused 
and  dr fuad askked to   wait  for  3  months  
6/2026   it  was 2.9 


medication 
asa   80 mg once 
calcium 
crestor  20 mg once 
diovan  160  mg once 
jardiance   10 mg once daily 
alfacal 
tritqce  com
alloril  100 mg once 


creatinie  3 
