48   yers old male pt 
knonw to have  dm   for the last  2  years 
htn  for the lst   16  years 
stone former 
RA   and  he was seen by dr  muhammed  idias 

medication 
eucrease   50/1000 
atacand   plus    16/12.5 

he has   renal stone   and he  found to have 



renal  us distal uretric stone  mild  (3  mm ) 
and he  has  smalll  gravel    on tne right 

he was discahrged on 
rwatinex 
scobutyl co
acamol focus 
atacand   
cadex  4 mg once 

rtc after  2 weeks 