58   YEARS OLD MALE PATEINT 
KNOWN TO HAVE DMN FOR THE ALST   20  YEARS 
NO HTN 
NO  IHD 

BEFORE      2    AND HALF  YEAR   CREATININE  WAS  1,6 


RECENTLY HE  HAD  CREATININE  2,7


ABDOMINAL  US  SHOWED 
7X4   CM   SLIGHTLY DECRASE   IN SIZE   WHILE   THE  LEFT   LEFT  KDINEY  MEASURES  ABOYTN  10X  4        OTHERWISE    BOTH   KDINEY APPEARES NORMAL IN SHAOE AND EHDCOPATTERN  WITHNOUT  EVIDANCE ON HYDRONEPHROSIS 

OTHER  WISE NORMAL 
BEFORE ONE MONTH   HE  RECEIVED nsaid 


MEDICATION 
INSULIN   