60 years old male pt 
knonw to have  hypertension  for the last  20 years 



he  has   nocturia  for the last  3  months 
for  which  he sought  aleef  alzaro   and he was  diagnosed with prostatitis 

he  found to have  proteinuria   heavy
and he has   frothy  urine 
then he  had  abdominal ct    that showed  normal size of the kidney 

he has  bilateral renal cyt   multipe    with  5-6 cm cyst 
he has  adrenal adenoma    9 mm

creatinine  1
ldh 261
afp  normal 
b  hcg  normal
esr  20 
hgb  13.8   wbc   285

urine analysis  showed +3  proein and +2  blood 

medication 
exforg   160/10  
conconr  5 mg once 
asa  100 mg once 
crestor   20 mg once 

plan 
add  empa