29   years old female patient 
knonw to have   proteinuria  for the last   2  years 
proteinuria   7000  gram 
abdominal us    normal  kidney size 
she came  45  days  postdelivery 

creatinien   0.7 
albumin 2 
protienuria  6900 

ast  normal 
alt  normal 
es r    not  high 
no stigmata  for   chronic  kidney  diseas   and no stigmata for   connective tissue  disease 

plan 
she is on   valsan  80 mg   once daily and i  asked  her to increase the dose  to  160 mg once 

to do kidney  biopsyh