Hemily Zandybell, MD
banner
zandybellnefro.bsky.social
Hemily Zandybell, MD
@zandybellnefro.bsky.social
Nephrologist 🇵🇪
💚 U-Sed | Glomerulophaties 🔬| Pocus|Good coffee ☕️ | dancing 💃 | constant reading 📚
November 2, 2025 at 6:40 PM
Nice pictures! And true! PHACO 🫶
October 25, 2025 at 1:20 AM
Lluncor Technique 🎯💯, for sure! @lluncornefro.bsky.social
October 23, 2025 at 3:43 AM
We are waiting for serological and immunological results, proteinuria still pending, I will share them shortly to complete the case. 🫡
October 23, 2025 at 3:37 AM
Thanks for the feedback!
October 23, 2025 at 3:35 AM
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
Urine Test

Physical-chemical examination:

pH 6.0 / SG 1010 / Albumin + / Hemoglobin ++ / Glucose - / Leukocytes + / Nitrites -
October 23, 2025 at 2:14 AM
Reposted by Hemily Zandybell, MD
5/10
A figure paints 🖼️ a 1000 words!
Here’s the infographic: Top 10 nephrology takeaways on HTN prevention & management.
From albuminuria to renal denervation it’s all here:
VA by @sejalplakhani.bsky.social:thanks for the visual clarity
September 21, 2025 at 3:54 PM
Excellent idea, let's get started 😋
#UrinarySediment #UrineMicroscopy
September 21, 2025 at 11:31 PM
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
Excellent 👏. Greetings from Peru 🇵🇪. In my department, we're also implementing urinary sediment analysis interpreted by a nephrologist. We're in training.
September 19, 2025 at 10:41 PM
🟡 U-Sed: Leukocytes 0-3, red blood cells 0, no specific casts, presence of transitional cells
September 19, 2025 at 7:53 PM