15  years old male pt 
free  past medical hsitory 
student 
family history :  free 
no family history for renal disease 

c/o  he was   doing well   untill 2  days ago , when  he  discovered to have   hematuria  and dysuria    for which he  sought medicala dvice at   dr ahamad  samamrah ,  where  he found to have   uti     for which he  was given   zinnat and  uroclean 
then  abdoninal  us  was done    that showed   small  right  kdieny size  with  8.5  cm   however  it  showed  normal cortical thickness 
 the  left  kidney   is compensatory    enlarged  meaasure    about  11.5   cm  in bipoler  length   with no hydronephrosis 
normal urinary bladder 

creatinine   0.5 
bun  13   normal 
urina analysis  sowed   wbc  32    -42       blood  +2  blood 


he is known to have  hypospedias  and  ectopic tisticles 
no hsitory for  uti  at birth 


impression  conginital  atrophied kidney 

plan 
MAG  3  test 
repeat urine    analysis    and  creatinine    and   eSR