Jade Teakell Profile picture
Nov 20, 2021 16 tweets 12 min read Read on X
Inspired by the beautiful #urinemicroscopy pictures posted by @dani_nephron and recent posts by @DShadowgazer + @CatchTheBaby ...
I present to you Taylor Swift as #urinarysediment 🔬findings ...
1/ Bilirubin pigmented RTEC (renal epithelial cell cast)
🧵
2/ Dense Pigmented “Muddy Brown” Casts
@Neph_SIM
3/ Long Convoluted Waxy Cast
#SpinUrine
4/ Triple Phosphate Crystals
@Neph_SIM
5/ RBC Cast (SM Stained)
#LiquidBiopsy
7/ Cystine crystals - partially polarized 💠
8/ Acanthocytes - unstained, phase-contrast, darkfield
9/ WBC Cast (unstained)
*ahem* took some liberty with the color filter...
#nephritis
10/ Mixed Cellular Cast (RBCs + WBCs), brightfield w/ SM stain
11/ Hyaline Cast, brightfield w/ SM stain
12/ Dumbell-shaped Calcium Oxalate Monohydrate Crystals
@swissnephro

This one is a stretch, but I had to find something for this TSwift dress
13/ More Acanthocytes (dysmorphic RBCs), brightfield
14/ Calcium Phosphate Crystals
Thank you 🙏 @VelezNephHepato ⚽️!
I really wanted to include this #TaylorSwift dress, but could not find that 'just right' image.
15/ Leucine crystals, polarized

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More from @jmteakell

Nov 3, 2023
Calming the Waters 🌊
#KidneyWk Image
Starting with a case, @NephroMD will discuss #Hyponatremia mgmt in the ICU. #KidneyWk

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@NephroMD @ASNKidney #KidneyWk @NephroMD

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Read 33 tweets
Dec 14, 2021
People are living in crisis from hunger 🚨 @USDA est that 30 mil in USA (includ 12 mil children) are experiencing food insecurity.
Many Americans are just a job loss, missed paycheck, or 🏥 medical emergency away from experiencing hunger.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
🧵1/
Food insecurity (FI) is lack of *consistent & socially acceptable* access to enough safe food for an active, healthy life. The COVID-19 pandemic has exacerbated FI for so many.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
2/
Why should FI matter to #NephTwitter? It’s a social determinant of health w/ *major* implications 👉 poorer overall levels of health, chronic med conditions, & lower levels of psychosocial/physical functioning.
renalfellow.org/2018/02/13/hun…
@mcstarr1 @RenalFellowNtwk
#HCWvsHunger
3/
Read 14 tweets
Dec 13, 2021
Good morning #NephTwitter it's time to shine!
It's @HCWvsHunger Challenge Week to fight food insecurity. Donate to *any* hunger-relief organization *this* week. Any $ amount helps these agencies get food on to tables🍎🥑🍲🥪🍊🍏
#UrineItToWinIt #HCWvsHunger
Steps to participate👇
@HCWvsHunger 1. Find a local food/hunger organization! Need help 👉 feedingamerica.org/find-your-loca…

My first donation is going to @TargetHunger.
🌿Community gardens nearby LBJ Hospital.

#UrineItToWinIt #HCWvsHunger @HCWvsHunger
@HCWvsHunger @TargetHunger 2. Tag our team #UrineItToWinIt !
🍏 Record your donation @ 👉hcwvshunger.org/how-to-donate/
or
🍏 DM me (or @HCWvsHunger) the $ amount

#HCWvsHunger
Read 4 tweets
Dec 12, 2021
I cannot believe a year has gone by 🗓️🏃‍♀️
What an absolutely incredible experience the w/ @NSMCInternship. Thank you so much to all #NSMC faculty mentors, but especially to @docanjuyadav @kidney_boy @hswapnil & @Nephro_Sparks.
Wish this graduation night could have been in-person! https://www.nsmc.blog/
For anyone interested in #nephrology education and/or sharpening your social medial skills, the @NSMCInternship is the absolute best! 🏆
I cannot recommend this highly enough!
👉 nsmc.blog/about
#FOAMed #MedEd #NephForward ImageImageImageImage
Read 4 tweets
Aug 19, 2021
1/ 🚨#Tweetorial alert. Let’s discuss a couple cases of #Hypercalcemia 🦴🥛
@NSMCInternship #NSMC2021 #TeamTwobules #NephTwitter #MedTwitter #MedEd 🧵
2/ A patient admitted with c/o decreased appetite, abdominal pain, & constipation. Found to have severe #AKI (with hyperkalemia + acidosis) & hypercalcemia.
3/ What’s your differential for #hypercalcemia?
C - Calcium supplements
H - Hydrochlorothiazide
I - Immobilization
M - Multiple Myeloma, Milk-alkali
P - Parathyroidism
A - Alcohol
N - Neoplasm
Z - Zollinger-Ellison
E - Excessive Vit D
E - Excessive Vit A
S - Sarcoidosis
Read 24 tweets
May 1, 2021
Excellent #KIDNEYcon session by ⁦@criticalbeansmd⁩ about MAP and other perfusion pressures.
👉 Blood pressure is not the same as blood FLOW.
Under normal conditions, pulse pressure wave precedes flow volume wave. #KIDNEYcon
In sepsis, vasodilation can lead to decreased speed of pressure wave and increased speed of flow wave.
#KIDNEYcon
Read 7 tweets

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