<s>[INST] She is renal pt. from the last ten years and her serum criatinine is unstable between 2.0 to 2,8. she is working lady . In today report her blood uria is 78 and creatinine is 2.3. No hyper. no sugar. she is fine but from the last one month she feel body pain in joints. [/INST] Hello,Considering her past medical history, I would recommend checking uric acid plasma levels for possible hyperuricemia and some other blood lab tests for inflammation:- Complete blood count- PCR- ESRYou should discuss with her doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>