BILATERAL  FLANL PAIN FOR THE LAST  ONE WEEK 
HE  SOUGHT MEDICAL  ADVICE  BY DR  HANI MASALMA     AND HE HAD  ABDOMINAL US 
THAT  SHOWED  INCREASER  RENAL E CHOGENECITY 

LABS  WERE DONE AND SHOWED 
ESR 13
C3  NORMAL 
C43  NORMAL 

CREATINBBNINE  1.18 
BUN 24
ABOMINAL  US   SHOWED INCREASER PARANCHYMAL ECHOGENEDCITY 
URINE ANALYSIS SHOWED  1  PROITEIN  AND  MINOR       BLOOD 


HE HAD   UPPER  RESPIRATORY TRASCT INFECTION 
NO JOIN TPAIN 

PLAN 
DD   DEFLAZACORT   30 MG ONCE 
\ADD  J  DEE   50000  ONCE   WEEKLY 
ZINNAT   500 MG  1X2 

RTC FTER   2 WEEKS 