25    years old male pt 
he  was doning   well 
he is knonw to have uretric  stenosis 
2019   he has  left flank pain and he  dsiscovered  to  have  uretric  stenosis and   and he found to have 
he was   followed by dr  khadir  hassona 
naseem and he  foudnand he  discosed  nephrecomry 


mild  dysuria 

he has   creatinine  less than 1  before 2 months 
he presesntd  because his   fear  lof  the other side affection 

plan 
please do renal ultrasound looking for the kidey size and echogenecity 
please do serum creatinine and   urine analysis 

i  will discahrge him on zinnat  and  scbutyl  
then to  MAG3  study   If he has  poor  fucntion of his kidney  then to consider  nephrectomy if remains  symptomatic 

thenks 
