17   years old male aptient 
he is premature  and  presented with  bilaterwaql  flank pain radaited to the   back not  the  flank 

he  has   recurrent   attacks     for the alst  2  weeks 

creatnin    1.27   alt    47 
tsh    2.6    free    t4    1.26 
crp  2 
wbc    8.2    hgb     17       plt     243 


plan 
to  do renal us 
to do  laa
b 
revilax 
paramil extra 
reevlaution tomorrow 