45   years old   male patient 
presneted  for  evlaution of  his creatinine  1.5 mg/dl   for the last  1  and half year 
he is knonw to have   hepatitis  b 

was referred from dr  malik and  he w as askked to do the  c cath   for  which  he was   sent  to us 

he  was  doing well 
no new complains 
no joint  pain 
stable  weight 
DM   in the family 
