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Might be one of the ugliest gallbladders I've ever seen. This POCUS shows a large stone
of the ugliest gallbladders ... I've ever seen. ... This POCUS shows ... thick edematous gallbladder ... eabramsMD #Clinical #POCUS
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Adenomyomatosis - May cause ... pain Porcelain gallbladder ... , high risk of gallbladder ... , vomiting, fever ... pain, jaundice, fever
Causes of Gallbladder Wall Thickening
Primary Wall Thickening:
1 . Acute calculous cholecystitis
2. Acute acalculous cholecystitis
3. Chronic cholecystitis
4.
Causes of Gallbladder ... Systemic Processes: Liver ... Typhoid, Dengue fever ... parenteral nutrition #Gallbladder ... Wall #Thickening #Causes
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Psittacosis • Q Fever ... • Typhoid Fever ... • Drug Fever ... Typhoid Fever (S ... Dengue Fever NOTE
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #bradycardia #Causes
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... Fever and RUQ ... This #POCUS has ... eabramsMD #Clinical #POCUS
Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever.  Answer in thread. holecystitis/impacted stone
Gallbladder Perforation ... pericholecystic abscess on POCUS ... with RUQ pain/fever ... Cholelithiasis #POCUS ... #clinical #ultrasound
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... heart failure, Liver ... MD @NephroP #Gallbladder ... Diagnosis #radiology #POCUS ... #ultrasound
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... or no fever • ... Non-Infectious Causes