Hemily Zandybell, MD
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zandybellnefro.bsky.social
Hemily Zandybell, MD
@zandybellnefro.bsky.social
Nephrologist 🇵🇪
💚 U-Sed | Glomerulophaties 🔬| Pocus|Good coffee ☕️ | dancing 💃 | constant reading 📚
Another day here! at the Urinary Sediment Unit, we continue learning 😎 #UrinarySediment
November 14, 2025 at 3:38 AM
I'm delighted to have attended and participated in one of the best international conferences 🇺🇲. See you next year in Denver. Let's continue to advance nephrology! @asnkidney.bsky.social @lluncornefro.bsky.social #kidneywk
November 10, 2025 at 2:32 PM
Day 1, #kidneywk 25, We attended the poster presentation, which focused on an important topic: Reducing gaps and strengthening training in urinary sediment analysis. We were joined by someone passionate about U-sed. @juancarlosqvelez.bsky.social , @roxnonna23.bsky.social .
November 6, 2025 at 10:51 PM
In this picture, we were unsure if it was a red blood cell cast or a red blood cell cluster due to its shape. What do you think?
#UrinarySediment #Urinemicroscopy
October 23, 2025 at 2:32 AM
Presence of casts:
- Waxy Cast with Erythrocytes (SM stain)

#urinarySediment #uSed
October 23, 2025 at 2:22 AM
Presence of casts:
- Mixed CASTS with erythrocytes
October 23, 2025 at 2:20 AM
We found: Hematuria
- Red circle: Acanthocytes (4%)
- Yellow circle: isomorphic (70%)
October 23, 2025 at 2:18 AM
Granular Cast in the right picture seen by polarized light
#UrinarySediment #UrineMicroscopy
September 21, 2025 at 11:27 PM
SM stain (phase Contrast, x400)
#UrinarySediment #UrineMicroscopy
September 21, 2025 at 11:27 PM
Coarsely granular, Fatty or RTEC cast?
(phase contrast, X400)
#UrinarySediment #UrineMicroscopy
September 21, 2025 at 11:27 PM
🟡 U-Sed: Leukocytes 0-3, red blood cells 0, no specific casts, presence of transitional cells
September 19, 2025 at 7:53 PM
An acanthocyte is a dysmorphic red blood cell characterized by vesicles or spike-like protrusions or "Mickey ears" on its membrane. It is considered a highly specific marker of glomerular hematuria.
September 19, 2025 at 7:35 PM
Today I reviewed more than 10 urinary sediment samples. 👀 Each sample is like a small universe that tells me the patient's story. #NefroLife
September 15, 2025 at 1:58 PM
Our research on urinary sediment has been accepted as a poster at #KidneyWeek 2025 🩺🔬. Careful analysis of sediment remains key to diagnosis and management in nephrology. @roxnonna23.bsky.social #TeamNefrologiaAlmenara #Urinalysis #ASN #Nephrology
August 9, 2025 at 1:19 AM
Ultrasound-guided CVC placement: precision and safety in clinical practice 👇👌 . #CVC #UltrasoundGuided #InterventionalNephrology #Precision #Safety
March 8, 2025 at 9:19 PM
Excellent way to finish the diploma in CRT therapies, a practical workshop at the height that allowed us to reinforce everything we learned during these months. Thanks to everyone who made this possible. Keep learning 🫶 🇵🇪🇲🇽 @diplomadoTRRC
January 31, 2025 at 9:31 PM
I have no words to express my gratitude to this excellent nephrologist who, with his enthusiasm and patience, has transmitted to us his knowledge about urinary sediment. see you soon and thank you Dr Fogazzi 🫶 #PHACO #urinarySediment #theBeginning #teamAlmenara
January 25, 2025 at 3:12 AM
Starting in this world of urinary sediment 🤩, it is never too late to learn. The beginning of the beginning #peruvianNeprologhists 🇵🇪 @romina21.bsky.social @juancarlosqvelez.bsky.social
January 23, 2025 at 6:21 PM
Does anyone recognize this sign? What happened to the lung? 🫁 #pocus #lus
November 19, 2024 at 4:04 PM