26  YEARS OLD MALE PATEINT   BEFORE   5  YEARS  HE  STARTED TO HAVE LOWER LIMBS EDEMA 
MILD  SOB CALCIUM   7.7 
NA     139  K    4.4   CL  105
ALBUMIN 2.5 
GLOBIN    26
GGT    9  
AST   30 ALT   26
AMYLALSE  55 
CK  44 
CREATININE 1.3
LDL   223 
BILIRUBIN   5.5


ABDOMINAL US 
NORMAL ABDOMINAL ULTRASOUND  AND SHE HAS   NORMAL   RENAL SIZE AND ECHOGENECITY 
PROSTATIS  NORMAL 

THE  GALL BLADDER   IS WELL   SEEN   WITH NO STONE 

LIVER    

IMPRESSION 
NEPHROTIC SYNDROME

PLAN 
PREDNISONE  60 MG OCNE 
VALSAN   160 MG OCNE  J DEE   ONCE WEEKLY 
NEXIUM 
TO DO ANTIPLA2R 
TO  DO VASCULTITIS  WORK UP 

NO  JOINT PAIN 
NO ORAL ULCERATION 


LABS SHOWED 
