30   years old female pt 
She has hematuria and proteinuria    sice  after pregnancy   in 2023 
She had kidney biopsy that showed  igA nephropathy 
She received  prednisone   30 mg  with tapering down to zero    in January   2024 


She presented to our  clinic   with hematuria and  flank pain 
She  reported  back pain and   recurrent abdominal pain and diarrhea 

r/o
git   related igA nephropathy
r/o  seronegative arthtis 

labs    hgb  11   wbc   4.8   plt   385     bun  13 
creatinine   0.53 
crp negative 
urine analysis negative for  protein and +3  blood 




today she came  for  follow up 
abd she is planning  to get preganct 
creatinine  0.5
bun 12 
pcr35/113
hgb  111    wbc  7.8  plt378
esr 3
c3  89 
c4  23



plan 
agree   to  go  for preganacy 
add folci acid 
add  iron 
add  clotrimazole   cream 
add zinnat   for  uti