83  Years old male patient 
presented  for  evalaution as  he  found to have    creatinien  1.5 
beofre one  year it was  2 
he is  knonw to have  hypertension 
bph 
dyslipidemia 

medication 
anapril  20 mg    omnic  once as a      liponil 

plan 
add  cadex and amicor   and  biosolve  s
top  omnic and  analpril  and lasix 

rtc after one month