40     years old male pt 
free past medical history 

infertility    work up 

labs  showed 

hgb 13.8     wbc  5,2   plt     145
fbs    97      
uric acid     1.6 
bun   26

ldl  21 
albumin  4.3
ast  alt  normal 
  t    protein  6.5 
amylas e   164 
lipas e  33
ck   9 
na  138    k  3.8 
cl  95
urine analysis   +3 

creatinine  today     1.67 
protein /creatinine     1260/74 


plan 
add   dee  dense  
do renal us 
do labs 
reevalaution after labs 