11 results
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
sonographic murphys sign ... jchristianfox #Clinical ... #POCUS #Gallbladder ... #Cholecystitis ... Cholelithiasis #Transverse
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Narrow while transverse ... Leukonychia #striata #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
Stone in Neck (SIN ... ) Sign of Acute ... Cholecystitis ... Cholelithiasis #POCUS ... #clinical #ultrasound
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
of the fingernails ... are a typical sign ... #FingerNails #Ridges ... #Clinical #PhysicalExam ... #Photo
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... sign). ... Pathology: acute cholecystitis ... #SiN #Sign #POCUS ... #clinical #gallbladder
Lindsay's Nails (Half-and-half Nails)
Distal brown transverse band seen in kidney disease. Caused by increased pigment deposition.

#Lindsays
Distal brown transverse ... #Lindsays #Fingernails ... #PhysicalExam #Clinical ... #Photo #HalfAndHalf ... #Sign
Stone-In-Neck Sign on POCUS

A patient presents with abdominal pain and tenderness over this area. The scan
Stone-In-Neck Sign ... on POCUS A patient ... concerning for cholecystitis ... #SiN #Sign #POCUS ... #clinical #gallbladder
Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
Beau's Lines Transverse ... #Beaus #Lines #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign
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
Mees' Lines
Transverse while lines (usually one per nail, no depressions) that often can will disappear if
Mees' Lines Transverse ... #Mees #Lines #Fingernails ... #PhysicalExam #Clinical ... #Photo #Sign #Arsenic