51   years old male pt 
htn  for the last   4  years 

creatinine was  1.5   with +3  protein and +3   rbc 


few  days  ago he  foudn to have creatinine  3.4 
urine   protein  +3   urine   rbc   100


impression 
iga  
impression  fsgs 

plan 
add   carvidelol 
add   cadex 
keep on  norvasc 
add alfcal 
rtc after  doign labs and abdominal  us  
consider  kdiney biopsy