28  years old female pt 
G2 P1 +1 
she is  pregnant in the second  trimester 
she preseted with hematuria 
referred from dr  rawan shalaldah 
she   has  persistante   hematuria for the last     few months 
not improved on antibiotic 
hgb stable 
no proteinuria 

plan 
please  do renal us 
please  do labs 
then reevalaution


renal us  shwoed normal kidney size  with normal echogenecity 
no  stone 
no gravels 

plan 
to do  esr 
ana 
c3 c4 
creatinine 
urine  pcr