412 results
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
Stone in Neck (SIN ... Here, the stone ... it's associated shadowing ... @eabramsMD #Stone ... #Neck #SIN #Gallbladder
Might be one of the ugliest gallbladders I've ever seen. This POCUS shows a large stone
of the ugliest gallbladders ... shows a large stone ... thick edematous gallbladder ... Clinical #POCUS #Gallbladder
Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD.  POCUS :
Impacted Gallbladder ... Stone on POCUS ... : impacted GB stone ... EmergOmBur #Impacted #Gallbladder ... #Stone #POCUS #
An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
defined, echogenic gallbladder ... with posterior shadowing ... Clinical #POCUS #Gallbladder
Cholecystitis on Gallbladder POCUS 

The landmark for the gallbladder is the portal vein, usually seen superiorly
Cholecystitis on Gallbladder ... landmark for the gallbladder ... Thickened gallbladder ... 4mm), sludge & stones ... Fluid outside gallbladder
UROLITHIASIS 

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
UROLITHIASIS 80% of stones ... & cystine (1%) stones ... Struvite stones, ... Uric acid stone ... Cystine stones are
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... Urinary #Kidney #Stones
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Pediatric Kidney Stones ... • Try retrieve stone ... ELECTIVE: - Stone ... Stent: < 2 cm stone ... URS: Ureteric stone
Medications for Recurrent Calcium Oxalate (CaOx) Stones
HYPERCALCIURIA
 • Thiazides: HCT, Indapamide, Chlorthalidone
 • Consider after first
Oxalate (CaOx) Stones ... Consider after first stone ... kidney - Large stone ... risk in CaPO4 stones ... Oxalate #CaOx #Stones
A sludge filled gallbladder will appear isoechoic with liver and blend right in. This one had
sludge filled gallbladder ... easily identified stones ... jchristianfox #gallbladder ... cholelithiasis #stone