before   6  months he had  abdominal pain   flank pain associated with dysuria 
and he   found to have   creatinine  1.2     and    1.4 

abdominal us   in  9/2024  shoed increase  in renal  echognecity    with normal ssize and shape 
   size 11   with  20 
  the sedond    12    with    20 mm  cortical thickness 

he  sought medical advice  at alahli     
24 hour urine collection for  proitnei    was done 
the right flank pain was done and   showed 
he  has 

stool   emeba  with   rbc
h pylori positive

plan 
abdominal us 
urine  protein /creatinine  ratio  
urine analysis