GeraldMD - GrepMed

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Dr. Gerald Diaz @GeraldMD

40.0M 14.2K 7.5K

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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12 results

Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever. Answer in thread. holecystitis/impacted stone

Gallbladder Perforation ... /impacted stone ... Perforation #abscess #Cholecystitis ... #Gallbladder #Cholelithiasis ... POCUS #clinical #ultrasound

Causes of Gallbladder Wall Thickening - Differential Diagnosis
• Physiologic: Contracted gall bladder in a non-fasting

Causes of Gallbladder ... Contracted gall bladder ... Acute & chronic cholecystitis ... Neoplastic: Gall bladder ... radiology #POCUS #ultrasound

Cholecystitis and Cholelithiasis on POCUS
Focal cholecystitis with focal wall thickening at the fundus.
Sludge, beautiful stones, ?

Cholecystitis and ... Sludge, beautiful stones ... Cholelithiasis #POCUS #gallbladder ... #ultrasound #RUQ ... #clinical #abdominal

Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD. POCUS :

Impacted Gallbladder ... Stone on POCUS ... EmergOmBur #Impacted #Gallbladder ... cholelithiasis #RUQ #abdominal ... #ultrasound

Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)

Sign of Acute Cholecystitis ... sign of acute cholecystitis ... #Neck #SIN #Gallbladder ... POCUS #clinical #ultrasound ... #Cholecystitis

WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF

contracted around stones ... 1yr worsening abdominal ... Path: chronic cholecystitis ... WallEchoShadow #POCUS #gallbladder ... cholelithiasis #clinical #ultrasound

GB stones shadow... cancer does not. Here is an unfortunate case of cholangiocarcinoma with abdominal ascites.

GB stones shadow ... cholangiocarcinoma with abdominal ... Cholangiocarcinoma #Gallbladder ... Clinical #POCUS #AbdominalUS ... #Ultrasound

Gallbladder Neck Stones on POCUS

Packed stones close to neck of GB can be easily missed. Assess

Gallbladder Neck ... Stones on POCUS ... EmergOmBur #Gallbladder ... cholelithiasis #ultrasound ... #RUQ #abdominal

Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS

Gangrenous cholecystitis ... Diagnosis: Gangrenous cholecystitis ... Pt had stone stuck ... #Gangrenous #cholecystitis ... POCUS #clinical #ultrasound

UPJ Stone on Sagittal Bladder POCUS

4th grade female with right mid abdominal pain. Brought from

UPJ Stone on Sagittal ... Bladder POCUS ... with right mid abdominal ... #Sagittal #Bladder ... POCUS #clinical #ultrasound

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