kidney  transplantation  in 2018 
unknonw cause 
from brother 
creatinine 1 

presented with one month hisotry for lower limb edema 

mainatained on prograf    1=1myfortic   360 mg 1x2 
prednisone  5 mg once 
lipitor   40 mg once 
atacand  16 mg once 
dee  desne 
add  calcium 


creatinine  1 
protienuria  7  gram 
albumin  3.1 

plan 
make prednisone  30 mg once 
add  atacand 
do  autoimmune work up 
referral for kidney  biopsy 