47 results
Acute cholecystitis. Note the gallstones with shadowing, pericholecystic fluid, and thickened gallbladder wall. #Clinical #EM #Radiology
Note the gallstones ... Cholecystitis #WallThickening ... PericholecysticFluid #Gallstone
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.
Complications of Gallstones ... Gallstone ileus ... Complications #Gallstones
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Asymptomatic gallstones ... Asymptomatic Symptomatic gallstones ... jaundice, fever; gallstone
Distinguishing Between Paralytic vs Mechanical Ileus
Paralytic Ileus
 - Medical history: Frequent ulcer or gallstone pains or
Frequent ulcer or gallstone ... of carcinoma, gallstones
Gallstone Diseases
1. Asymptomatic Stones 75%
2. Biliary Pain 20%
3. Acute Cholecystitis 10%
4. Mirizzi's Syndrome < 0.1%
5. Cholangitis/
Gallstone Diseases ... Cancer < 0.1% #Gallstone
Cholecystitis on POCUS (Labeled)

Ultrasound showing gallstone, wall thickening, and pericholecystic fluid.

Dr. Meghan Herbst @EUSmkh

#Cholecystitis #POCUS #clinical
Ultrasound showing gallstone ... #gallbladder #gallstone
An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
shadowing from gallstones ... WESComplex #Sign #Gallstones
Cholelithiasis. Note the gallstones with shadowing and normal gallbladder wall thickness #Clinical #EM #Radiology #POCUS #Cholelithiasis
Note the gallstones ... Cholelithiasis #Gallstone
The causes of Pancreatitis 
The mnemonic "l Get Smashed" 
is often found to be helpful. 

Idiopathic
Idiopathic Gallstones
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
Hirschsprung’s Duodenal gallstones