55 Y 
HYPERTENSION ON NIFIDIPIN   8/2.5 
SHE PRESENTED WITH  PROTEIURIA    PLUS  3 
SHE HAS  NORMAL KDINEY US 
SHE  HAS  POLYCYTHEMIA  DUE TO   SMOKING PIP 

PLAN 
VENESECTION 
MAKE  CANDIPIN  16/5 
ADD  FORXIGA 
STOP NSAID 

ANCA NEGATIVE 
C3 C4  NORMAL CREATININE 0.9 

PLAN 
RTC AFTER 3 WEEKS 
REEVALAUTION FOR POSSIBLE  KDINEY BIOPSY 