he was seen and his chart was reviwed
he has rught ankle  pain and effusion  mostly gout

PLAVIX 
LIPITOR 
AMICOR   5 MG 1x2
nexium 
 ARANSP 
 IRON 
 CALCIUM 
 ALFACAL 


plan 
add   lantus   15 
add   balgist 
add  colchicin 
add  prednsione  20 
add gel  for analgesia 

rtc after  1 month