39    years old male pt 
free past medical history 
he  ahs  tachycardia   for the last    few  months       and he has been on    concor 

prostatis    for the last   few  months 

at  jordan   2   months 

blood   and  protein

normal  kidney ultrasound 
no stone 
he was referred from dr  wadee3 
urine  analysis  from out side showed   +2  protein and +2  blood 
creatinine  was  1,5   before  2  months and  now  it is  1 

plan 
do esr 
c3 
c4 
esr 
urine  pCR 
consider  ct 
consider  kidney biopsy 


ana   negative c3    c4  normal 

hbs  ag  normal 

esr   7

urine analysis  showed      +1  protein and    90-100   rbc
creatinine   1.4 
urea     29 
ast  54
PCR 690