38  years old male pt 
driver 
urine retension  due to his   ocupation 
he has   dysuria 

before  10 days he has  dyuria and  and he  sought medical  advice  at hebron hospital 
he  found to have  hematuria and dripping  and  frequency 
before  2  days he  had  sever pain 
he  sought medical advice at
urine  analysis showed   rbc  150  protein plus  2
cbc  sowed   wbc  12   nhgb     17  plt   260
creatinine  1

plan 
2  gram  rocephin 
then rizacef 
add  rwatinix 
consider  ct  abdomen 
conisder  repeat the labs next week  if  still having proteinuria   then  consider  kindey  biopsy