70   years  old male patent 
free past medical history 
2020   left  side  body weakness 
suspected  stroke 
there   he found to have  high  blood  pressure  160/10   and he was dmitted  for 2  days 
creatinine  2.2      in 2020 

he  sought medical advice  at  dr mamoun   
and  for  neurology   at  dr  ismael abudaia 


last visit to  dr mamoun   1.3    in 2020
off medication for  the last  3  years 
before  2  weeks he found to have  bp 160/110 
with improvement of his creatinine 

he  had  some labs and showed 
wbc   6.8  hgb    11.4   plt    206
ldl   111 
uric acid 9.1
ast 17
alt  22
hbac  6.3
creatinine  3.7 

reeapted creatinine   3.5    gfr    17 
hba1c  6.3

abdominal us  showed normally located  right side  9 cm   and the left 8.3  with increase   in echogenecity 


plan 
add  amicor 1*2
methyldopa 1*1
calcimor 1*1
alloril  1*1
alfacal eod
dee dense 
aspirin 
lipitor   20 mg 

