Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
: gallstones, anterior ... sonographic murphys sign ... jchristianfox #Clinical ... #POCUS #Gallbladder ... Cholelithiasis #Transverse
Wall-Echo-Shadow (WES) sign! UAB Emergency Ultrasound
@UAB_Sono

#Clinical #POCUS #Gallbladder #WallEchoShadow #WESComplex #Sign #Gallstones #Cholelithiasis
Wall-Echo-Shadow (WES) sign ... UAB Emergency Ultrasound ... @UAB_Sono #Clinical ... #POCUS #Gallbladder ... #Gallstones #Cholelithiasis
Seagull Sign on POCUS - Celiac Artery Trunk Anatomy

Celiac trunk branching into hepatic and splenic arteries
Seagull Sign on ... Knowing that aorta ... Trunk #labeled #clinical ... #pocus #ultrasound ... #transverse #anatomy
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
) Sign of Acute ... Cholecystitis ... #Gallbladder #Cholelithiasis ... #POCUS #clinical ... #ultrasound #Cholecystitis
Biliary Ultrasound Win of the Week! 48F with RUQ pain. Marked echogenicity with shadowing noted. Name
Biliary Ultrasound ... UAB Emergency Ultrasound ... @UAB_Sono #Clinical ... #POCUS #Gallbladder ... #Gallstones #Cholelithiasis
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
POCUS GB done. ... sag and 12.7 cm transverse ... US Murphy's sign ... #POCUS #clinical ... #ultrasound #RUQ
Wall Echo Shadow Complex (WES) on Gallbladder Ultrasound

Medical student: “I couldn’t find the gallbladder. I looked
Complex (WES) on Gallbladder ... Ultrasound Medical ... #WES #Complex #Sign ... #Gallstones #Cholelithiasis ... #Clinical #POCUS
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 ... @SonoStache #Clinical ... #POCUS #Gallbladder
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Dissection on POCUS ... - VCU Ultrasound ... #plax #clinical
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
WES Sign (Wall Echo ... Shadow) on POCUS ... Path: chronic cholecystitis ... #gallbladder #cholelithiasis ... #clinical #ultrasound