
52   years old   male pateint 
knonw to have  htn for the last   6  years 
prostatic  hypertrophy 
sarcoidosis 

medication 
prednisone   5 mg once 
valsadipin 160/5 
prosimol 


he     had   flank pain and  he   found to have    renal stone with   hydronephrosis 
and he has  stone distraction by  dr  abusbeh 
and then  afte rone month he  found to have another kidney stone  tat had been removed 
before one  year it  was  1,6 mg/dl 
he  found to have creatinien  2.03 mg, bun  25    for  which he was   referred to us 

examintain  
bp  160/90 
abdomoinal exam unremarkable 
do abdominal   us 
do labs  including protein /creatinine   ratio 
do abominal us 
prendosopne      30 mg once 
amicor    5 mg 1x2 
cadex  4  mg once 
calcium 
alfacal 
j  dee  

plan 

