divorced 
first  preganncy  2021
dm and urine  +1 
2023   pregancy   and  delivered   in 2023 
tsh 0.39
esr  22
crp  4,4
c3  c4  normal 
ana  and  anti DNA  negative
hgb  9    
suspected  iga 
pcr  0.21

given  atacand and dee  dense
creatinine  0.9
albumin   3.8
esr 11
hb  hcv  negative
urine analysis  no   rbc