Normal KFT (cr 0.5 , BUN 7 , eGFR 124) but urinary sediment says otherwise in this asymptomatic female pt (in her 40s), with no h/o renal disease
Acanthocyturia , proteinuria , RBCC,RTECC, RTEC

Captivating finding of cast within a cast , waxy cast within dense granular cast
eGFR 22 ml/min
Proteinuria (100 mg/dl)
Jay R. Seltzer Juan Carlos Q Velez

#urinarysediment

Cholemic Nephropathy: Role in Acute Kidney Injury in Cholestasis and Cirrhosis

Are you a bile-iever? You should be....
akdh.org/article/S2949-…

Atypical cells showing all urothelial carcinoma cells characteristics.
30 y/s female pt. w gross hematuria.
#Urinary_sediment

#urinary_sediment

65 y/s male patient
Elevated Cr and BUN
Urinary protein 100 mg/dl
WBC 10-19
IsoRBC 5-9
No acanthocyturia

Reactive urothelial cells , urolithiasis case

“N” for nucleolus - Impressive macronucleoli in pleural effusion involved by metastatic lung adenocarcinoma. (Cytospin)

Oval fat bodies and lipid droplets in cast - brightfield, polarized, and darkfield, with SM stain - from patient with AKI and UPC 13 gm/gm - #UrinarySediment #UrineMicroscopy

Really long lipid cast - brightfield with SM stain, then under polarized light - #UrinarySediment #UrineMicroscopy

1/4 SLE, AKI. RBC casts, WBC (neutrophils) casts and mixed RBC/WBC (dark field) casts, consistent with GN. #UrinarySediment #UrineMicroscopy Ochsner Nephrology

Example of utility of Prescott-Brodie stain, aka Mohty stain ⁦𝐑𝐚𝐥𝐩𝐡 𝐌𝐨𝐡𝐭𝐲 𝐌𝐃 𝐌𝐏𝐇⁩ top images WBC cast (blue cells) in a crescentic GN, bottom images RTEC cast (fucsia cells) in a case of ATI and proteinuria. #UrinarySediment

40 y/o presents with several month hx of back pain and now has AKI - FLC K/L >1,600 - #UrinarySediment under brightfield with SM stain, and phase contrast unstained, showed light chain crystalline casts (presumed) #UrineMicroscopy

Female pt in her 20s with sudden onset of renal insufficiency
Heavy MBGCs seen with Few Waxy casts and RTECs (5-9/HPF). All c/w ATI

eGFR 25 ml/min

Leucemia Linfoide Aguda de Precursores B 🔬

Extendido de sangre periférica de una paciente femenina de 14 años. 🩸

-Tinción de Wright, 100x 🔬

#Hematologia #laboratorio #microscopy #Clinico #leucemia #casosclinicos #hematology

Urinary sediment

#urinarysediment

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