29    years old male patinet 
he has   appendectomy before  2  months 
he has  bilateral   flank pain   that increase don the first  2  days  

he   has  joint pain   with morning  stifness 
cold intolerance 
he increase urine frothiness 

no lower   limbs edema 
no  hair   
family history for   renal stone 

plan 
j dee  once weekly  zimical 
rtc after doing labs 