

74  years  old male pt 4
knonw to have  hypertension 
base line creatinine  2  
prostatic  hypertrophy 
he was  followed by abuquider 
he has  refractory    itching 



tody he came  for  follow up 
creatinine   2.8      17/4
increase   to  2 

plan 
add  deflazacort 
add biosolve 
add dee  dense 

rtc after  2 weeks 
do  renal us