Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal amylase/lipase. See thread. #POCUS #IMPOCUS #FOAMed #FOAMus #MedEd #ultrasound @grepmeded @NephroP @medpedshosp @PratsEM @cianmcdermott @HeyDrNik @jminardi21 @PittIMPOCUS @SonoStache
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GB measurements: Length 10.1 cm, TRV width 4.0 cm, Wall thickness 3.1 mm. CBD: mid/distal- 5.1 mm. See GB sag video. Has large stone in neck. This was LLD position--stone remained impacted. Always scan in 2 positions when stone seen in neck in initial supine position.pic.twitter.com/lTntJtytRJ
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GB TRV Sweep. Sludge also present.pic.twitter.com/dkZM6Sje7K
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Liver TRV sweep. Note presence of intrahepatic ductal dilatation. Always make this evaluation a part of your POCUS GB study. What is diagnosis? What is causing these lab/POCUS findings?pic.twitter.com/HyDEp4z0gE
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Another great case!
"mirizzi syndrome POCUS" ->https://www.grepmed.com/images/7840
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