76    YEARS 
GOUT   
BPH 
NO HTN 
NO  DM 

HE  PRESENTED WITH  ITCHING AND  HE RECEIVED     ANTIHISTAMIN 
HE  ASKKKED TO  DO CREATININE AND LIPID  LOWRING  AGENT 
HE  SOUGHT MEDICAL  ADVICE  A T   DR    ASAD  MAKARZAH AND  HE WAS REFERRED TO US 


LABS  SHOED C REATININE   1.3 
BUN  18 
BIIRUBIN   1.7 

FERRITIN  318 
TSH    1.4
WBC           9   HGB     16  PLT   214
HBA1C     5.8
COP NEAGTIVE

ABDOMINAL US  SHOWED   RENAL CYST  FATTY LIVER  INFLITRATION 
PROSTAT HYPERTROPHY


PLAN 
JAK   2  MUTATION 
ADD BIOSOLVE AND A DD   RAPAFIN  TAB
RTC AFTER  1MONTH