Meghan Kelly Herbst, MD @eusmkh
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UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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Cholecystitis on Gallbladder POCUS 

The landmark for the gallbladder is the portal vein, usually seen superiorly
Cholecystitis on Gallbladder ... landmark for the gallbladder ... Thickened gallbladder ... Fluid outside gallbladder ... clinical #ultrasound #Abdominal
Appendicitis on POCUS

Gorgeous appendicitis just beneath the peritoneal line with the psoas mm laterally.

Labeled Schematic: https://twitter.com/EUSmkh/status/841741820375797762

#Appendicitis
#Appendicitis #appendix ... clinical #ultrasound #abdominal
Cholecystitis on POCUS (Labeled)

Ultrasound showing gallstone, wall thickening, and pericholecystic fluid.

Dr. Meghan Herbst @EUSmkh

#Cholecystitis #POCUS #clinical
ultrasound #RUQ #abdominal ... #gallbladder #gallstone
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Small Bowel Obstruction ... #Small #Bowel #Obstruction ... clinical #ultrasound #abdominal
Appendicitis on POCUS

Ultrasound in transverse plane showing appendicitis (>6-7mm, blind-ended, non-compressible, no peristalsis)

Dr. Meghan Herbst @EUSmkh

#Appendicitis
Appendicitis #POCUS #abdominal ... clinical #ultrasound #appendix
Gallbladder Distension on POCUS

Gallbladder viewed in long-axis plane (sagittal on body).
Normal gallbladder dimensions are up to
Gallbladder Distension ... on POCUS Gallbladder ... Normal gallbladder ... indicate a stone obstructing ... Herbst @EUSmkh #Gallbladder
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 ... the neck of the gallbladder ... POCUS #clinical #gallbladder ... #ultrasound #abdominal
Appendicitis on POCUS

What is your diagnosis?
Resolution: appendicitis (criteria >6mm, noncompressible, blind-ended, no peristalsis). When diagnosed by
#Appendicitis #appendix ... clinical #ultrasound #abdominal
Cholecystitis on POCUS

Ultrasound showing gallstone, wall thickening, and pericholecystic fluid.

Dr. Meghan Herbst @EUSmkh

#Cholecystitis #POCUS #clinical #ultrasound
ultrasound #RUQ #abdominal ... #gallbladder #gallstone
Appendicitis on POCUS

High frequency linear transducer in a sagittal plane (clue: iliac vessels seen in long
Appendicitis #POCUS #abdominal ... clinical #ultrasound #appendix