61   years old male pt 
has  seonegative  ra with ankle  arthritis 
he hwas on fuside   tice /week 
previously he took cataflam   
creatiine was  1.1  and now  it is  1,5  
refered from dr saed atawnah 


plan 
do  renal   us 
repeat  creatinine and urine analysis 
rtc after   3 weeks 
