17 results
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
(SIN sign). ... Pathology: acute cholecystitis ... #Stone #Neck #SiN ... #gallbladder #ultrasound ... #abdominal #labeled
Emphysematous cholecystitis! Look for: Comet-tail artifact from abrupt change of acoustic impedance at a soft tissue/gas
Emphysematous cholecystitis ... GB (champagne sign ... ) - Arizona Ultrasound ... Clinical #POCUS #Gallbladder ... Emphysematous #Cholecystitis
Stone-In-Neck Sign on POCUS

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

Always eval the GB neck - impacted stone-in-neck (SIN)
(SIN) is a sign ... SIN had a sn of ... #Stone #Neck #SIN ... #Gallbladder #Cholelithiasis ... POCUS #clinical #ultrasound
Cholecystitis on Abdominal POCUS 

Stone in Neck (SIN), sludge, & wall thickening ARE present, and all
Abdominal POCUS ... (SIN), sludge, ... #Abdominal #POCUS ... #clinical #gallbladder ... #ultrasound
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
WES Sign (Wall Echo ... 1yr worsening abdominal ... Path: chronic cholecystitis ... pathology #WES #Sign ... WallEchoShadow #POCUS #gallbladder
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
jaundiced sclera in ... Wilson's disease 3) ... fluid, Dilated abdominal ... Ascites, Palpable gallbladder ... liver #disease #signs
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Gangrenous cholecystitis ... in a gallbladder ... US Murphy's sign ... #Gangrenous #cholecystitis ... POCUS #clinical #ultrasound
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Nausea/vomiting • Abdominal ... clue • Blood tests ... Serum cortisol < 3 ... ACTH stimulation test ... present - ACTH test
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
dullness, puddle sign ... auscultatory percussion, abdominal ... incisional). 3) ... concentration 3) ... Optional tests: