9 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 ... Pathology: acute cholecystitis ... #POCUS #clinical ... #abdominal #labeled
Stone-In-Neck Sign on POCUS

A patient presents with abdominal pain and tenderness over this area. The scan
Stone-In-Neck Sign ... presents with abdominal ... concerning for cholecystitis ... #POCUS #clinical ... #gallbladder #ultrasound
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
Stone in Neck (SIN ... ppv of 93% in diagnosing ... #Neck #SIN #Gallbladder ... Cholelithiasis #POCUS ... #clinical #ultrasound
Cholecystitis on Abdominal POCUS 

Stone in Neck (SIN), sludge, & wall thickening ARE present, and all
Abdominal POCUS ... Stone in Neck ... (SIN), sludge, ... #Abdominal #POCUS ... #clinical #gallbladder
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
contracted around stones ... 1yr worsening abdominal ... Path: chronic cholecystitis ... #gallbladder #cholelithiasis ... #clinical #ultrasound
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... fluid, Dilated abdominal ... Ascites, Palpable gallbladder ... #disease #signs ... #diagnosis
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Diagnosis? ... Diagnosis: Gangrenous ... Pt had stone stuck ... US Murphy's sign ... #POCUS #clinical
Celiac Disease - Clinical Manifestations
Gastrointestinal Manifestations: 
 • Diarrhea, Loose stools, Dyspepsia, Flatulence, Chronic abdominal pain,
Clinical Manifestations ... Flatulence, Chronic abdominal ... puberty • Elevated liver ... #signs #symptoms ... #diagnosis #gastroenterology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... Due to their short ... consider intra-abdominal ... bleeding often from a liver