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An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
defined, echogenic gallbladder ... Clinical #POCUS #Gallbladder ... WallEchoShadow #WESComplex
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
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Biliary colic 2. ... Gallbladder carcinoma ... Intrahepatic stones
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... diverticulum, AUPBD • Stones ... : Biliary stone( ... @drkeithsiau #Biliary
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... Cholesterolosis of gallbladder ... pain Porcelain gallbladder ... , high risk of gallbladder ... cholecystitis - Biliary
Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder
& an enlarged gallbladder ... pancreatic or biliary ... A gallbladder containing ... stones is likely ... fibrosis of the gallbladder
Biliary Ultrasound Win of the Week! 48F with RUQ pain. Marked echogenicity with shadowing noted. Name
Biliary Ultrasound ... Clinical #POCUS #Gallbladder ... WallEchoShadow #WESComplex
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 #
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... strictures, Benign biliary ... of symptomatic stones ... of strictures, Stone
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 ... the neck of the gallbladder