Dilated Distal Common Bile Duct on POCUS Male with RUQ abdominal pain for 2 days. GB sag/trv below. Neg Sonographic Murphy's. GB TRV meas- 4.84 cm trv. Labs show elevated WBC, AST/ALT, Alk Phos, T Bili. Pancreas/Distal CBD TRV--note dilated distal CBD. Answer: MULTIPLE stones in CBD(6+)(Yikes!)=choledocholithiasis. ERCP/cholecystectomy. Did well. No pancreatitis or cholangitis. Labeled Schematic: https://twitter.com/RJonesSonoEM/st Dr. Robert Jones @RJonesSonoEM #Dilated #Common #BileDuct #CBD #POCUS #clinical #ultrasound #gallbladder #clinical #ultrasound
