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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 ... @eabramsMD #Clinical ... #POCUS #Gallbladder
Causes of Gallbladder Wall Thickening
Primary Wall Thickening:
1 . Acute calculous cholecystitis
2. Acute acalculous cholecystitis
3. Chronic cholecystitis
4.
Causes of Gallbladder ... Typhoid, Dengue fever ... parenteral nutrition #Gallbladder ... Wall #Thickening #Causes ... #differential #
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Adenomyomatosis - May cause ... pain Porcelain gallbladder ... , vomiting, fever ... pain, jaundice, fever ... biliary #diseases #differential
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... Wall Thickening - Differential ... heart failure, Liver ... #Thickening #Differential ... Diagnosis #radiology #POCUS
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
OTHER CAUSES ... CLINICAL UTILITY ... help hone your differential ... Dissociation #diagnosis #differential ... #causes
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
auricular papules Clinical ... Liver biopsies show ... prevalence of RP-ILD Phenotype ... Arthralgia/arthritis Phenotype ... muscle weakness Phenotype
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
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes ... of Fever CRITICAL ... Noninfectious #Causes ... #Differential #
Epiglottitis - Swollen inflamed epiglottis 
Clinical (Rapid onset) 
 • Fever 
 • Sore throat
inflamed epiglottis Clinical ... Rapid onset) • Fever ... Epiglottitis #Signs #Causes ... #Diagnosis #Differential
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Diagnosis and Workup Clinical ... History: - Fever ... depending on the cause ... Diagnosis #Workup #Differential ... #Causes