👩🏻 patient, 39 yo, IgA nephropathy, dysmorphic hematuria 🩸 #UrinarySediment #urineMicroscopy

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

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

Dysmorphic hematuria #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.

Christmas Urinary Microscopy 🎄🔬🫶

Another day here! at the Urinary Sediment Unit, we continue learning 😎 #UrinarySediment

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

Starting in this world of urinary sediment 🤩, it is never too late to learn. The beginning of the beginning #peruvianNeprologhists 🇵🇪 @romina21.bsky.social @juancarlosqvelez.bsky.social

Leukocyte (neutrophil) casts can be found in pyelonephritis, interstitial nephritis and glomerulonephritis. But in this case, there’s only one clear possibility. Can you tell? #UrinarySediment #UrineMicroscopy #PisseProphet

Since Swifties have moved en masse, I’d like to re-present one of my favorite threads 😍 Inspired by beautiful #urinemicroscopy pictures posted elsewhere... I present to you ⭐️Taylor Swift as #urinarysediment 🔬⭐️ findings... 1/ Bilirubin pigmented RTEC (renal epithelial cell cast) 🧵 #NephSky #MedSky

#nephsky #urinesediment Patient with chronic HCV infection, now with icterus. During hospitalization developed oliguric AKI, but also received high volume of fluid. There is hypoalbuminemia (18 g/L). The spleen is normal size, but liver is very large. Here are pictures of urinary sediment 👇🏼

Ayer en Huánuco 🇵🇪 con @zandybellnefro.bsky.social difundiendo la diálisis peritoneal. 📌Implante de TKF: técnica percutaneo ecoguiado📸🎮📌 por el Nefrólogo✅️ #InterventionalNephrology #PDFirst #PocusPerucho🇵🇪

Does anyone recognize this sign? What happened to the lung? 🫁 #pocus #lus

🧑‍🎓Skytorial Alert 🧑‍🎓 1/ Hey #NephSky! Welcome to a 🆕 #BlueSky #Skytorial brought to you by @kireports.bsky.social

Classic case of kidney biopsy in a patient with Fabry disease. Foamy podocyte and tubular cytoplasm. Myelin inclusions in lysosomes by EM (no gloms for EM; but tubules still useful). #renalpath #nephrology #pathsky