47 years old male pateint 
gouty artjitis  for the last   10 years and he
no family hsitory for  gout 
he has  kdiney stone and  he  has lithtripsy 
uric acid   7 
creatinien  1.5 
hba1c  6.8   before  ramadan 


he   sought medical advice  by dr  ryad  saed and he was   tested  and  he was prescribed 
he  has   sever arthris and 

medication
1,4
no   proteinuroia 
no hematuria 

uricn acid  6.5 

normsal kidney size by us

medicatrion 

jardiance   12.5 mg /1000
alkasolve 
colchiin   1x2 
feboxstat 
plan 
prednsioopne  4 mg once 
febstat   80 mg once 
alfacal once daily