52   years old male pt 
dm   x 18 
htn   x  18 
gout 
disopathy 
dld 
no ischemic heart disease 
family history for  renal disease   due to lupus 
pancreatic  problem
Presented with with lower limb edema 
creatinine  2.3 
  and   repeated after    one week 

he  sought medical advice  by dr anan  abumunshar  and then he was referred to us 
before  3  months  it was  0.9 

medications 
mixtard 
lozar  50 mg 
norvasc 5 mg once 
simvastatin   20 mg 



