32 results
Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD.  POCUS :
Impacted Gallbladder Stone ... : impacted GB stone ... #Gallbladder #Stone ... #RUQ #abdominal ... #ultrasound
Gallbladder Stone Mimic on POCUS

Adjacent bowel can mimic GB stone .The shadow it casts is a
Gallbladder Stone ... bowel can mimic GB stone ... #Gallbladder #Stone ... #ultrasound #clinical ... #RUQ
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... cholecystectomy, new RUQ ... but there is a stone ... BileDuct #CBD #Stone ... #biliary
Impacted Gallbladder Stone on POCUS
20's female with RUQ pain x 20 hrs. Has positive Murphy's. Vitals
Impacted Gallbladder Stone ... impacted large stone ... #Gallbladder #Stone ... #cholelithiasis ... #ultrasound
Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever.  Answer in thread. holecystitis/impacted stone
Patient with RUQ ... holecystitis/impacted stone ... #Gallbladder #Cholelithiasis ... POCUS #clinical #ultrasound
A sludge filled gallbladder will appear isoechoic with liver and blend right in. This one had
This one had some ... easily identified stones ... gallbladder #sludge #cholelithiasis ... #stone #ultrasound
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Artifact of CBD stone ... this dancing CBD stone ... Artifact #CBD #stone ... #biliary #clinical ... #ultrasound #pocus
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... Here is her biliary ... A stone is lodged ... Herbst @EUSmkh #Stone ... #gallbladder #ultrasound
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
- Highest • Bone ... symptoms - Pain -> RUQ ... Drugs - Primary biliary ... PSC - Other biliary ... duct stricture/Stones
Cholecystitis and Cholelithiasis on POCUS
Focal cholecystitis with focal wall thickening at the fundus.
Sludge, beautiful stones, ?
Cholecystitis and Cholelithiasis ... Sludge, beautiful stones ... Cholecystitis #Cholelithiasis ... #gallbladder #ultrasound ... #RUQ #clinical