35  years old femlae pateint 
regant   for the last      2months 

she  had  proteinuria       accidantly 
G  3 P2 
she has  no history for  preclapmsia 
she has  no  previous medical historhy 
she has   family hsitory for    single kidney 
she has  no joint pain 
she has low back pain and   she has   morning stiffness 
she has  lower limb nubness  and   she  has      stiffness 
she has  headahce and dizziness 
she has no skin rash 

creatinine 0,7 
cholesterol     110 
ast   12 
alt  11 
albumin  3.5
urine  protein/creatinine  ratio  2700 
fbs    80 
wbc     7,8  hgb   11.6      plaelt    318
she ahs  24  hour urine collection  945
she has  hematuria and  proteinura 

plan 
add  dee  desne 
add   aspirin 
rtc   every month 
follow up  blood pressure 