TELMA LEMOS @TELMALEMOS10
professor and researcher in Clinical Biochemistry post doctorate at the university of chicago - E.U.A #urinalysis#urinarysediment Joined June 2020-
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Cytoplasmic vacuolization Morphological change indicating cell degeneration. The origin of vacuoles is dilated organelles (endoplasmic reticulum, Golgi complex, mitochondria or lysosomes) due to the entry of water. #urinarysediment #urinemicroscopy #urinalysis
Mixed cellular cast with tubular epithelial cells and WBCs - brightfield with SM stain - from patient with IgAV - #UrinarySediment #UrineMicroscopy
#UrinarySediment from pt w/newly diagnosed lymphoma and AKI. Findings suggest paraneoplastic crescentic glomerulonephritis: acanthocytes, RBC cast, WBC cast (w/RBCs), and fibrinous cast. All serologies normal or neg. Kidney biopsy planned #UrineMicroscopy
On delaying CKD progression: SGLT2 inhibitors (SGLT2i) from @goKDIGO #NephJC #Nephpearls #VisualGraphics by @Glomkeeper 👉 kdigo.org/guidelines/ckd… 👉 kdigo.org/guidelines/dia…
Calcium Phosphate Oxalate Mono. @jrseltzer @VelezNephHepato @zxnboy @baxtyarbaboly
Another great #KidneyCon ! Thanks to @VelezNephHepato and @SwethaKanduriMD for running the #UrineMicroscopy workshop with me again this year . And special thanks to @NephroRock and @UAMSNeph for hosting this great event! The #Eclipse2024 was pretty cool too 😎
RBC cast (also contains a couple WBCs) - brightfield with SM stain - converted to grayscale - #UrinarySediment #UrineMicroscopy
WBC cast - brightfield with SM stain - converted to grayscale - #UrinarySediment #UrineMicroscopy
Mixed cellular cast (RBC's, WBC's, and tubular epithelial cells) with a fibrin matrix - brightfield with SM stain - converted to grayscale - #UrinarySediment #UrineMicroscopy
Renal tubular epithelial cell cast - brightfield with SM stain - converted to grayscale - #UrinarySediment #UrineMicroscopy
Cellular casts, unstained r difficult to characterize it. SM stain allows better visualization but not always able to distinguish WBCs from RTECs. Prescott-Brodie (PB) aka Mohty stain shows WBCs with distinct dark blue whereas RTECs look fuchsia #UrinarySediment #UrineMicroscopy
Mixed cellular cast, mostly RBC's, with at least one WBC - brightfield with SM stain - converted to grayscale - #UrineMicroscopy #UrinarySediment
Mixed cellular cast, predominately RBC's - brightfield with SM stain - converted to grayscale - #UrineMicroscopy #UrinarySediment
Cilindros bacterianos teñidos con Sternheimer-Malbin. Patognomonicos de pielonefritis.
Demonstration that nucleated cells in casts from a hyperbilirubinuric specimen are RTEC. PB stain shows that cells do not turn blue (or green: yellow+blue), therefore, they are not WBC. AKI ESLD cholestasis. #UrinarySediment
#UrineMicroscopy samples from 2 cases today. One has bili 38 with AKI and the other a vasculitis rash, abd pain and AKI - stay tuned for #UrinarySediment findings….
Different types of calcium carbonate crystals #urinarysediment #urinalysis #urinemicroscopy
When a woman has vaginitis (Candida or Trichomonas) and the discharge contaminates the urine. We can observe alterations in the squamous cells as a consequence of the infection (perinuclear halo, karyomegaly, nucleoli, etc.). #urinarysediment #urinemicroscopy #urinalysis
We have a new camera!! 📸📸💪💪 I am really enjoying…. I just need more time 😅

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