58   years old female pt 
knonw to have  htn  10 years 
mother  with ca 
  for the last   3  years    she  had     gout  dyslipidemia and  her creatinine   started to  rise 
2,2    then  2.4   before   3  years 

she wa followed by zawahrah 
before  one week   her creatinine    was 3.7
ldl 83

before  3  months    her creatinine
2,8


medication s
simvastatin 
hypocor 
asa 
cadex 
alloril 
carvidelol    12.5 mg 1x2 