46   years old male pt 
for the last   10 years he   found to have  hypertension 
after   awile  he  found to   have   impaired kidney function 
creatinine   1-7-2.7 

he  sought medical adivce  by nephrologist and he was prescripbed      antihypertensive medication   
he      found to have  gouty arthitis and he    was managed by dr saed atawnah 


na  133   potassium    4,3     cl 107
c31.2  nl
c40.35  normal

pth   143
urine pcr    6.7over   79
urine pcr   0.084
urine stable  no protein  no rbc
a1c5.9
creatinine   1.86
anti ccp  0.61

medictions 
asa   100 mg once 
vasan and hct 
concor   2.5
aldactone  25 mg once
cadex   4 mg once 
dapagloflozin  10 mg once 
alloril   100 mg once 
medrol  4 mg once 
sitaglu  50 mg once 