In Peru, we have seasons with alcohol beverages adulterated methanol that create a high demand for dialysis. The last one I remember was in 2022. Every two or three days, we had one patient requiring hemodialysis at my hospital.

We found: Hematuria
- Red circle: Acanthocytes (4%)
- Yellow circle: isomorphic (70%)

Hepatization of lung‼️

✅Finally, visualization of glomeruli🔍 by digital microscope🔬to ensure sample quality
#InterventionalNephrologist
#KidneyBiopsybyandforTheNephrologist

✅Ultrasound-guided puncture📌 in real time🎥 (out-of-plane approach to renal capsule and in-plane parenchyma puncture)

✅Measurement of Resistance Index (IR) in the lower pole (to avoid or predict fibrotic areas)

✅Vascular Mapping🎥 of the lower pole of the kidney to be biopsied