7 results
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 ... Here is her biliary ... A stone is lodged ... Herbst @EUSmkh #Stone
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... - CBD stone on ... ( > 6 mm with galbladder ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD stone ... , Biliary stricture ... LFTs #Elevated #Abnormal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal ... Common Bile Duct Stone ... • Biliary stricture ... Differential #Diagnosis #Algorithm
Gallbladder Distension on POCUS

Gallbladder viewed in long-axis plane (sagittal on body).
Normal gallbladder dimensions are up to
Gallbladder Distension ... on POCUS Gallbladder ... Normal gallbladder ... may indicate a stone ... Distension #Distended #POCUS
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary ... stone, Malignancy ... function may be abnormal ... differential #diagnosis #algorithm
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
hydronephrosis/stone ... A/P w IV con: abnormal ... collecting system stone ... LFTs normal Diagnosed ... Sonopalpation - localization