42    years old female pt 
free pasy   medical history 
before 17    years    she  got pegnant  ivf 

she had   htn 

c/o  bilateral flank pain 

creatinine   1,1 
urine analysis showed      rbc  6 

plan 
add   zinnate   500 mg  
add  scubutyl 
do renal us  
consider reepating the  urine analysis  creatinien and   urien  pcr 