U05-18498 #3846771104 34 years old from Vermilion referred with increasing Cr 730 baseline normal? Known to have: · HTN Dx 6 yrs ago on Coversyl and Atenolol · Polycystic ovarian syndrome, · Gout, · Obesity · Family Hx: Brother had IgA nephropathy S/P renal transplant C/O 2 weeks Hx of flue like symptoms, cough, sputum production SOB, PND but no chest pain No skin rash or joint pain On exam: BP 150/90, O2 sat 94% on 5 L/min NRBM, LL oedema Lab: U/A: +3 protein, +3 Hb, WBC 1-5, RBC 26- 50, Protein ~ 2 gm /day, Cr 730, K5.2, Co2 18, Cl 104,Na 139, HBV, HCV negative, ANA + speckled pattern, ANCA – negative, Anti-GBM