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

19 Aug
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
1 May
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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