today she was seen and her chart was reviwe


esr  20 
alt  20 
creatinirn  1.4 
bun 15 
c3  c 4  nromal a
albumin     4.2 
urine protein/creatinine  ratio   246/105 
hgb   12.9   wbc    8.5   plt normal 

plan 
no role for ritux