66 results
Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
 • Vague periumbilical pain → localized RLQ pain
pain → localized RLQ ... tenderness • Rovsing Sign ... Obturator/psoas sign ... Algorithm #surgery #appendix
An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
echo shadow (WES) sign ... defined, echogenic gallbladder ... Clinical #POCUS #Gallbladder ... WallEchoShadow #WESComplex #Sign
Map of Referred Pain
Referred pain occurs when nerves from two different anatomic sites converge onto the
to another — Gallbladder ... — Appendix
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 ... A gallbladder containing ... Courvoisier #Terrier #Sign
Cholecystitis on POCUS (Labeled)

Ultrasound showing gallstone, wall thickening, and pericholecystic fluid.

Dr. Meghan Herbst @EUSmkh

#Cholecystitis #POCUS #clinical
clinical #ultrasound #RUQ ... #abdominal #gallbladder
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Cholesterolosis of gallbladder ... pain Porcelain gallbladder ... , high risk of gallbladder ... fever, Murphy sign
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
sonographic murphys sign ... Clinical #POCUS #Gallbladder
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
bowel sounds, RUQ ... Cardiovascular and vital sign ... Symptoms #spectrum #signs
Emphysematous cholecystitis! Look for: Comet-tail artifact from abrupt change of acoustic impedance at a soft tissue/gas
GB (champagne sign ... Clinical #POCUS #Gallbladder
Important Causes of RUQ and Midline Abdominal Pain - Illness Scripts
PUD, Gastroenteritis, Small bowel obstruction, Appendicitis,
Important Causes of RUQ ... EricsMedicalLectures/ #RUQ ... differential #diagnosis #signs