46   years old female pt 
knonw to have hypertension   since 2015   after  preclapsia 
g6 p6
PREECMPALIS 
pre  dM
hypothyrdoidim    for the last  few  days 


2015   she was  admitted ascase of preclapsia   and   then she has   had proteinuria 
kidney biopsy  was done   2017 
   another     2017/2018
  the  tubal ligation 

prednisone last  nephrology  visit  at  dr nassed   2020 

she was seen by dr muhanned  before  8 months  


kidney biopsy  was done   and  showed  minimal change  vs   fsgs   however  it  might  be insuppefient 

plan 
add  valsan  160/12.5 
empa 
lipitor 
cocnonr   2.5 


rtc after doing labs 

migh reconsider reepating the biopsy