21 results
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
sonographic murphys sign ... jchristianfox #Clinical ... #POCUS #Gallbladder ... Cholelithiasis #Transverse
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... on Gallbladder ... (SIN sign). ... #Sign #POCUS #clinical ... #abdominal #labeled
Stone-In-Neck Sign on POCUS

A patient presents with abdominal pain and tenderness over this area. The scan
Stone-In-Neck Sign ... presents with abdominal ... sign) with sonographic ... #Sign #POCUS #clinical ... #gallbladder #ultrasound
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... fluid, Dilated abdominal ... Ascites, Palpable gallbladder ... liver #disease #signs ... #diagnosis
rather easy case : 74 yrs old patient, febrile epigastric pain. Gallblader with tiny lithiasis, sludge,
Gallblader with ... echographic Murphy sign ... Diagnosis of cholecystitis ... PhilippeLeConte #Clinical ... #POCUS #Gallbladder
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
WES Sign (Wall Echo ... 1yr worsening abdominal ... pathology #WES #Sign ... #gallbladder #cholelithiasis ... #clinical #ultrasound
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... Abdominal or flank ... be present or signs ... #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Diagnosis? ... Diagnosis: Gangrenous ... sag and 12.7 cm transverse ... US Murphy's sign ... #clinical #ultrasound
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
) Sign of Acute ... ) is a sign of acute ... ppv of 93% in diagnosing ... #Gallbladder #Cholelithiasis ... #POCUS #clinical