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#DiagnoseThis
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This is the C4d immunofluorescence from a 5y post-transplant biopsy of an AA female who had ESRD due to lupus nephritis. What is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient who is IV drug user and IF showing C3 only staining, what is your diagnosis?
#DiagnoseThis #nephtwitter #pathtwitter #renal #kidneypath
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This is an IgG IF viewed under both fluorescent and polarized light from a patient with AKI following endovascular procedure. What is your diagnosis?
#DiagnoseThis #nephtwitter #pathtwitter #renal #kidneypath
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32 yo renal transplant recipient with AKI and pneumonia. A recent biopsy had shown borderline changes for TCMR and the patient received pulse steroids.
#DiagnoseThis #nephtwitter #pathtwitter #renal #kidneypath
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This is the biopsy of a 62yo Hispanic female with hematuria and proteinuria. What is this stain and what is the diagnosis?
#DiagnoseThis #nephtwitter #pathtwitter #renal #kidneypath
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In a 23yo M with proteinuria, hematuria and CKD, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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This is the biopsy from a 41yo Middle Eastern female who received a renal transplant a few years prior and presents with AKI. What is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a renal transplant recipient, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient with AKI and hematuria, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient with subnephrotic proteinuria, negative immunofluorescence, and segmental foot process effacement, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient with RPGN and this morphological finding on biopsy, what is the most likely diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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This is the albumin immunofluorescence stain form a biopsy from a patient with recent COVID pneumonia and nephrotic syndrome. What is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient with RPGN and this morphological finding on biopsy, what is the most likely diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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This is the H&E from the frozen tissue submitted for IF examined under fluorescent light. In a patient with anemia, thrombocytopenia, high LDH and schistocytes, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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This is the biopsy of a 68F with a history of bone marrow transplant and AKI. What is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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What are your differential diagnosis for this ultrastructural finding?
#DiagnoseThis #nephx #pathx #renal #kidneypath
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In a renal transplant recipient, these findings would be most consistent with what diagnosis?
#DiagnoseThis #nephx #pathx #renal #kidneypath
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This patient received a kidney transplant 10 days prior and is currently anuric, with delayed graft function. What is your diagnosis?
#DiagnoseThis #renal #kidneypath
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What would be your diagnosis for these findings in a 30-year-old African American male with CKD stage III and proteinuria?
#DiagnoseThis #renal #kidneypath
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What would be your diagnosis for these findings in a 30-year-old African American male with CKD stage III and proteinuria?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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What is your diagnosis for this finding in a young patient with renal artery stenosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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This image is from a biopsy of a young female who presented with proteinuria during pregnancy. Routine immunofluorescence was negative. What is this stain and what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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What is your diagnosis in a 35 y/o male with paraplegia and chronic osteomyelitis who presents with nephrotic syndrome? Bonus: What subtype would you suspect based on the clinical history?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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In a patient with these findings, which serological exams results would you be interested to know?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
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What would be your leading diagnosis given the glomerular changes in a patient with an abnormal SPEP? (Hint: Congo red and DNAJB9 stains are negative, powdery deposits by EM)
#DiagnoseThis #pathology #renal #kidneypath #nephsky #pathsky
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What is your diagnosis in a patient (non-smoker) with worsening proteinuria and a negative immunofluorescence panel?
#DiagnoseThis #pathology #renal #kidneypath #nephsky #pathsky
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What is your leading diagnosis when seeing this finding along the glomerular capillary loops?
#DiagnoseThis #pathology #renal #kidneypath #nephsky #pathsky
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What is the name of the finding at the end of the arrow and what condition is it classically associated with?
#DiagnoseThis #pathology #renal #kidneypath #pathsky #nephsky
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Based on the electron microscopic image, what would be your initial underlying clinical concern for the findings seen?
#DiagnoseThis #pathology #renal #kidneypath
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