Alberto Gushiken

Nephrologist

#UrinarySediment 🔬

[Alberto Gushiken @neph_ag]

#UrinarySediment
47yo male patient with fever, bleeding due to orofacial granulomatous lessions and persistent microscopic hematuria. Cr 0.7mg/dL, c- and p-ANCA NEGATIVE #UrineMicroscopy shows acanthocytes, dysmorphic and WNC and RBC casts.

[Alberto Gushiken @neph_ag]

#UrinarySediment
39yo male patient with persistent microscopic hematuria. #UrineMicroscopy shows acanthocytes, dysmorphic and RBC casts

[Alberto Gushiken @neph_ag]

https://t.co/xqv0oiiNLL

[Alberto Gushiken @neph_ag]

#UrinarySediment
Patient with AKI acute tubular injury, we found muddy brown casts and renal tubular epithelial cells in #UrineMicroscopy

[Alberto Gushiken @neph_ag]

#UrinarySediment
Patient with severe amount of uric acid crystals in #UrineMicroscopy

[Jay R. Seltzer @jrseltzer]

Degenerating RBC cast (note the Heinz bodies: dense granular deposits of denatured hemoglobin) - brightfield with SM stain - from pt of @acanthabella with IgA dominant necrotizing crescentic GN - #UrineMicroscopy #UrinarySediment

[Alberto Gushiken @neph_ag]

#UrinarySediment patient with proliferative GN and AKI due to ANCA vasculitis.
#UrineMicroscopy

[Alberto Gushiken @neph_ag]

#UrinarySediment #UrineMicroscopy A cast containing monohydrated calcium oxalate crystals

[Alberto Gushiken @neph_ag]

#UrinarySediment of patient with lupus nephritis and AKI.
#UrineMicroscopy

[Int Society of Nephrology @ISNkidneycare]

🌍 From Tajikistan to Peru, Rwanda, India, the Maldives, and Pakistan. ISN Educational Ambassadors are helping close critical gaps in kidney care worldwide.

January:
🇵🇪 In Peru, Giovanni Battista Fogazzi offered a training in urinary sediment analysis. This helped establish a new structured unit at Almenara Hospital.
🇮🇳 In India, at Shahbaj Ahmad helped establish a comprehensive interventional nephrology service after hands-on training in vascular access, biopsies, and imaging-guided procedures at Christian Medical College (CMC).

March:
🇷🇼 In Rwanda, Swarnalata Gowrishankar supported the creation of a kidney pathology lab at Kigali University Teaching Hospital (KUTH), laying the groundwork for sustainable renal pathology training.

June/July:
🇲🇻 In the Maldives, clinicians at Indira Gandhi Memorial Hospital (IGMH) strengthened their approach to electrolyte and acid-base disorders through interactive, physiology-based training by Mogamat Yazied Chothia.
🇹🇯 In Tajikistan, Aimun Ahmed, provided a week-long critical support on CKD and glomerular disease program at Istiqlol Medical Center (IMC).

September:
🇵🇰 In Pakistan, Saeed Ahmed led POCUS training at Khan Research Laboratory Hospital (KRLH) to improve real-time imaging skills and enhanced patient safety.

These collaborations show what’s possible when global experts and local clinicians work together to advance kidney health. 🔗 https://t.co/9oUUttFnsb

[Alberto Gushiken @neph_ag]

Although she had no respiratory symptoms, lung CT scan showed images compatible with alveolar hemorrhage.

Finally, the p-ANCA test result was positive.

[Alberto Gushiken @neph_ag]

#UrinarySediment
16yo female, admitted with hematuria and RPGN (Creat 0.7 > 4mg/dL),
#UrineMicroscopy showed RBC cast, acanthocytes.

[Alberto Gushiken @neph_ag]

#UrinarySediment
46yo male, with necrotizing scleritis and c-ANCA vasculitis.
#UrineMicroscopy showed RBC cast, mixed casts (leucocytes + RBC + lipids), acanthocytes

[Alberto Gushiken @neph_ag]

Although she had no respiratory symptoms, lung CT scan showed images compatible with alveolar hemorrhage.

Finally, the p-ANCA test result was positive.

[Alberto Gushiken @neph_ag]

"La sabiduría es saber que pasar por alto"

[Alberto Gushiken @neph_ag]

Acanthocytes

[Alberto Gushiken @neph_ag]

#UrineSediment #UrineMicroscopy

[Alberto Gushiken @neph_ag]

#UrineSediment
#UrineMicroscopy
RBC Cast

[Alberto Gushiken @neph_ag]

#UrineSediment