42  years old female pt 
family history for IgA /fsgs 
She presented with  hematuria and decrease in blood pressure 


labs showed 
creatinine  0.4
urine analysis showed   +3  blood and +1  protein 
she  has  ESR  30 
CRP  NEgative 
cBC   unremarkable 
tsh  2.2 
abdominal us  showed normal size of the kidney and normal shape 
small  gravels 

plan
abcidin 
ferrous fumarate 
rtc after  2 months 