👩🏻 patient, 39 yo, IgA nephropathy, dysmorphic hematuria 🩸 #UrinarySediment #urineMicroscopy
Hemily Zandybell, MD
@zandybellnefro.bsky.social
Nephrologist 🇵🇪 💚 U-Sed | Glomerulophaties 🔬| Pocus|Good coffee ☕️ | dancing 💃 | constant reading 📚
Are these clustered uric acid crystals? 🫣 pH: 5.0 sG:1020 Male with a history of kidney stones #UrinarySediment
Bilirubin-stained renal tubular epithelial cell cast. Patient with AKI and cirrhosis. #UrinarySediment #urineMicroscopy
I requested a urine sediment analysis because of elevated serum uric acid… . . …and received this sample. 👀 Can you guess what we found under the microscope? 🔬 #UrinarySediment
Finally, FINEONE shows Finerenone reduces albuminuria in T1DM www.nejm.org/doi/full/10.... @nejm.org #NephSKy
It’s March once again … #Nephmadness has begun #Nephpearls #NephSky 👉🏼 ajkdblog.org 👉🏼 If you don’t know what it’s about, then it’s time to checkout this 📺 m.youtube.com/watch?v=tZUR...
What happens when oxalate nephropathy & renal embolic disease interact? How does this interaction impact kidney function? Find out the answer in our latest #Collidescope episode! #renalpath #kidneypath #pathsky #renalsky
Oxalate Nephropathy & Renal Embolic Disease Collision Case | Collidescope Episode 10
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Female, 40 yo, LES class IV, cr 3.11 (previous 0.8), hematuria, proteinuria. U-Sed: RBC cast, presence of leukocytes (glitter cells?) #Urinarysediment #urineMicroscopy
First case of the Year 🫶 Male, 50 years old, recently started dialysis, persistent hematuria? Ph 8.0 sg: 1005 hb + 💦 Urinary sediment: leukocytes, some macrophages, and triple phosphate crystals. No RBC Urine culture pending #UrinarySediment #urineMicroscopy
Woman, 71 yo, allopurinol user, U-Sed: Uric acid crystals. *First time I've seen crystals; How beautiful these crystals are! 😍 can't imagine how excited I am. Maybe only a few will understand 🤭 Happy New Year 2026! May there be more urinary sediments to explore #urinarysediment #urinarymicroscopy
🌍 From Tajikistan to Peru, Rwanda, India, the Maldives, and Pakistan. ISN Educational Ambassadors are helping close gaps in kidney care worldwide. These collaborations show what’s possible when global experts and local clinicians work together to advance kidney health. 🔗 http://lite.spr.ly/6...
Woman 👩, 67 yo, No medical history, Cr ↗️ 1.4 -> 2.8 -> 3.5, oliguria, ESR 124. HTLV1 (+) ANCA (-) C3 and C4 normal, Prot 20g/24h U-sed: glomerular hematuria (10% acanthocytes) + bacteriuria.
I'm delighted to have attended and participated in one of the best international conferences 🇺🇲. See you next year in Denver. Let's continue to advance nephrology! @asnkidney.bsky.social @lluncornefro.bsky.social #kidneywk
Day 1, #kidneywk 25, We attended the poster presentation, which focused on an important topic: Reducing gaps and strengthening training in urinary sediment analysis. We were joined by someone passionate about U-sed. @juancarlosqvelez.bsky.social , @roxnonna23.bsky.social .
Clinic visit, pt w/type 2 diabetes + nephrotic range proteinuria. Persistent hematuria noted (normal cysto 3 mo ago) not c/w diabetic nephropathy. #UrinarySediment 🔬is performed: numerous acanthocytes and a few WBC casts. Serum IgA elevated. Normal C3/C4. Other tests pending. Kidney biopsy planned
U-Sed Case 👨⚕️ 46M with uveitis + acute kidney injury (Cr 0.7 → 4.4 mg/dL) 💬 Symptoms: cough, dyspnea, vomiting, 10-kg weight loss 🧪 Urinalysis: pathologic 🩻 Kidneys: normal size 💭 Could this uveitis + AKI pattern suggest a systemic autoimmune process?
5/10 A figure paints 🖼️ a 1000 words! Here’s the infographic: Top 10 nephrology takeaways on HTN prevention & management. From albuminuria to renal denervation it’s all here: VA by @sejalplakhani.bsky.social:thanks for the visual clarity
👩🏻 48-year-old woman 📌 History: membranous nephropathy, hypothyroidism, morbid obesity 📈 Admitted for: Massive proteinuria: 10 g/24 h 🧪 Creatinine: 1.4 mg/dL 🟡 Automated urine: no red blood cells We performed urinary sediment and found the following:
👩🏻 75-year-old woman - History of epilepsy 📈 Creatinine: 2.36 → 7.3 mg/dL in 9 days 🧪 Positive MPO ANCA (61.06)
An acanthocyte is a dysmorphic red blood cell characterized by vesicles or spike-like protrusions or "Mickey ears" on its membrane. It is considered a highly specific marker of glomerular hematuria.
I'm starting a new chapter sharing urinary sediment cases here on. I'm just getting started with this platform and these types of publications, so the idea is to learn together. 💡
Today I reviewed more than 10 urinary sediment samples. 👀 Each sample is like a small universe that tells me the patient's story. #NefroLife
Our research on urinary sediment has been accepted as a poster at #KidneyWeek 2025 🩺🔬. Careful analysis of sediment remains key to diagnosis and management in nephrology. @roxnonna23.bsky.social #TeamNefrologiaAlmenara #Urinalysis #ASN #Nephrology
Ultrasound-guided CVC placement: precision and safety in clinical practice 👇👌 . #CVC #UltrasoundGuided #InterventionalNephrology #Precision #Safety
Excellent way to finish the diploma in CRT therapies, a practical workshop at the height that allowed us to reinforce everything we learned during these months. Thanks to everyone who made this possible. Keep learning 🫶 🇵🇪🇲🇽 @diplomadoTRRC
I have no words to express my gratitude to this excellent nephrologist who, with his enthusiasm and patience, has transmitted to us his knowledge about urinary sediment. see you soon and thank you Dr Fogazzi 🫶 #PHACO #urinarySediment #theBeginning #teamAlmenara
Amoxicillin crystalluria during endocarditis treatment doi.org/10.1016/j.kint.2024.07.029 #KINephrologyImage #MedSky #NephSky #nephrotoxicity