65   years old male patinetr 
referred from dr sameer  a s  he  found to have   proteinuria  13  gram/day 

abdominal us  normal 
hypoalbuminemia   1 

dyslipidemia 
esr  120 
hgb  10 

c3  c4    normla 


bp 


plan 
do  anti   pla2r 
 aabdomional us   done 
solumedrol   1  gram  x3 
prednisone   4 mg once 
valsan   160 mg once 
nexium 
vit  d 
calcium 
rtc after  2 weeks 
kidney biopsy