22   years old femla ept 
known to have proteinuria  for the last   2 years 

no stigmata  for chronic kidney disease 
she   was seen by  dr 


abdominal us    showed  normal  kidney  size   and  normal  echogenecity

cbc  normal 
creatinine  0.5
rbc   20     protein +2

24 hour  urine collection for protnein   2400
ana    neagtuive
c3 c 4  normala 
serum elelctrulytues   normala
albumin 3.8


second   24  hour  urine collection after     2  month  on diavan  1200


then  12/2024   the    thing  increased  to  3000  mg  /day protein in urine


plan 
rtc after   insurance 
to  do  kidney biopsy  r/o  iga   r/o  fsgs 
she was prescriped   empa and  lozar   beside   vit  d   and iron  supplentnation

thank