Woman, 71 yo, allopurinol user, U-Sed: Uric acid crystals.

*First time I've seen crystals; How beautiful these crystals are! 😍 can't imagine how excited I am. Maybe only a few will understand 🤭 Happy New Year 2026! May there be more urinary sediments to explore

#urinarysediment #urinarymicroscopy

New consult in clinic: hematuria/proteinuria, Cr 0.9 #UrinaryMicroscopy performed STAT. Image should speak 4 itself. Messaged urologist 2 consider cancelling scheduled cystoscopy. Kidney biopsy now planned #PisseProphet #acanthocytes ⁦⁦@OchsnerNephro⁩

Degenerating RBC casts (some dysmorphism in RBCs noted within the cast) seen under phase contrast in a patient from Dr ⁦@AlqudsiMuhannad⁩ arriving with RPGN picture. Biopsy done today. #UrinaryMicroscopy #PisseProphet #glomerular ⁦@OchsnerNephro⁩