18  years old male pt 
free past medical
hypothyroidism     on thyroxinn 200 mcg once daily 
family history for  hypertension 
he had  lab  that showed  urine analysis  free
tsh  5.5 
creatinine  1.4
reeapted  1`.4

no  joint pain 
no  weight  chanages 
no chest pain 
no  cough 
no abdominal pain 
no dysuria 
no  frequency 
