38  years old make pt 
presented  for  follow up 
abdominal  us   normal  size of the kidney  size
normal  echogencity 


creatinine  2.6
bun   36 
pth   51 
albumin   437 
phosphorus    2,8 

wbc   10
hgb   15 
plt   206
creatinine    2,65 

uric acid    8,7 
calcium  9,1 
urine analysis   =1

plan 
add   feboxtate
add    dee  dense 