48   Years old male pateint 
DM   X 11  YEARS 
HTN X 4  
GOUT

Presented for  evaluation of   of proteinuria 


alfacal  0.25 mg once 
jauet  50/1000mg 1x2 
aspirin  100 mg once 
alloril  300 mg onve
concor  5 mg onc


chroni kidney disease   1.5 
protein +2  in urine analysis 


plan 
stop alfacal 
add  diovan 
consider  adding   sglt2  inhibitor 
rtc after  doing labs and  us 