29    years old male pt 
just finshed his   dotor  degree   in law 
no family history for  kidney disease  
mother  with htn  at the age of  50 


he was   doing well  untill  few  daysa go when he measuered his blood pressure and it was 150/100 

no  urinay  symptome 
no chest pain no sob    other than   few   chest  pain described as  muscler 
no vasculitis  rash 
no lower limb edema 
no  calf   pain 
no morning stiffness 




labs 
showed 
cbc    wbc  9  hgbb   15.6   plt 216
creatinine 1.05 
bun
uric  acid  8
amylase  normal 
cholesterol   195   ldl  138 
na  136   k 3.9   cl 104 
albumin  5 
ck  158
hba1c 5,7      tsh  2.1 

urine analysis showed no protein 
no  rbc 
no wbc 
esr 5

plan 
do  echo 
do urie   protein /creatinine  ration  
do aldosteone 
do renine 
do  ana  and  c3  c4 

renal us  showed   relatively small size of the kidneys  9.7   left  side  10 no hydronephrosis 