66    years old male  pt 
no  dm    no htn 
no ihd 
ex  smoker 
hemodrrhoid 
presented  with  back  pain 

creatinine  3.1  esr  100  hgb 9.9 
medication 
lipidex   40 mg once 
amicor  5 mg 
asa  100 mg once 
cipralex  