20  years old female patient 
known  to have    stone  before   few years 

she preseted   with hematuria  since  wednesday 

she had abdominal  us  that   showed  normal  kidney size and fucntion 

she has  hematuria and proteinuria 

creatinine  1 
c3   c4  normal 
cbc   normal 

impression 
igA nephropathy 

plan 
ct  stone  protocol 
consider  kidney biopsy 
do  urine  ACR 

pcr   0/07 
esr  27

crp  negative 
abdominam  us  normal 
DO ESR