56  years old female patient 
she has recent upper respiratory tract infection and then she has  hematuria 
then she ahs   abdominal us     that showed 
creatinine   0.5 
abdomominal  us showed kidney stone  
urine analysis shwoed  plus  1 protein and plus  4   rbc 

no family history   for kdney disease 
no joint pain  no morning stiffness 
no oral ulceration 


plan 
abdominal us  report 
cadex  2 mg   pm 
rizacef   once daily 
rwatinex  x3 
osteturine   1x1 

reevalaution after labs 