49   years old male patient 
DM   for the last  one year
hypertention   for the last   10  years 
smoker  still  
ischemic heart disease with  stent  2023 

before   10 years  he had    stone and he  has  obstructive uropathy and then  the stone has  passed 
creatinine   at that time 1.6mg/dl  the  improved  1.3 m/dl 
ckd  with base line creatinine 1.4 mg/dl 

before  one  year  it was 1,33 
medications
metformin  500 mg 1x3 
asa 100 mg once 
plavix  75 mg once 
rovatin
candipin 8/2.5 mg once 

;'kl