19 results
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Complications of Gallstones ... Gallbladder carcinoma ... Cholangitis 11. ... Gallstone ileus ... #differential #diagnosis
An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
echo shadow (WES) sign ... defined, echogenic gallbladder ... shadowing from gallstones ... #Clinical #POCUS ... #WESComplex #Sign
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Asymptomatic gallstones ... pain Porcelain gallbladder ... , high risk of gallbladder ... fever, Murphy sign ... #differential #diagnosis
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
cholecystitis: gallstones ... sonographic murphys sign ... jchristianfox #Clinical #POCUS ... #Gallbladder #Cholecystitis
Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder
Courvoisier Sign ... Courvoisier-Terrier Sign ... & an enlarged gallbladder ... unlikely to be gallstones ... CourvoisierTerrier #diagnosis
Wall-Echo-Shadow (WES) sign! UAB Emergency Ultrasound
@UAB_Sono

#Clinical #POCUS #Gallbladder #WallEchoShadow #WESComplex #Sign #Gallstones #Cholelithiasis
Wall-Echo-Shadow (WES) sign ... UAB_Sono #Clinical #POCUS ... #Gallbladder #WallEchoShadow ... #WESComplex #Sign ... #Gallstones #Cholelithiasis
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... - Differential Diagnosis ... cholecystitis, Cholangitis ... #Differential #Diagnosis ... #radiology #POCUS
Contracted gallbladder and gallstones -> Wall (gb wall) Echo (stone) Shadow (from stone) complex aka WES
Contracted gallbladder ... and gallstones ... complex aka WES sign ... #WES #Complex #Sign ... #pocus #clinical
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
65 years PBC Pathophysiology ... failure PBC Signs ... Differential Diagnosis ... obstruction - gallstone ... #diagnosis #workup
Wall Echo Shadow Complex (WES) on Gallbladder Ultrasound

Medical student: “I couldn’t find the gallbladder. I looked
Complex (WES) on Gallbladder ... couldn’t find the gallbladder ... #WES #Complex #Sign ... #Gallstones #Cholelithiasis ... #Clinical #POCUS