Introduction to Gallbladder Ultrasound
Case
- 37 y.o. female
- 1d epigastric pain --> right back
- No past medical history
- Some nausea, no fever, no vomiting, no dysuria
- Mild tenderness to right flank/ RUQ
- UA small blood, not pregnant
- Diagnosis?
- Imaging?
- Treatment?
Narration
37yo With Right Side/ Upper Abdominal Pain
Ultrasound A
Ultrasound B
Narration
Abdominal Pain
-
Abdominal pain: the #1 ED complaint
- Cholelithiasis:
- 10-20% adults in US (20 million)
- 1-3% of these with symptoms annually
-
Renal colic 1 in 11 persons
- 2 million ED visits annually for flank or back pain
- 70% of patients with urolithiasis get a CT
- though CT has not changed management…
- Ultrasound!!!
Narration
Probe Selection And Approach
-
Curvilinear probe
- Can use phased array to scan between ribs
- Recommend start with transverse subcostal window
- Have patient take a deep breath if possible
Narration
Probe Selection And Approach
-
Curvilinear probe
- Can use phased array to scan between ribs
- Can move up (intercostal), lateral (coronal)
- Sagittal views
- May help to have patient turn to left lateral decubitus or even sit or stand
Narration
ECG Interpretation
Heart Sounds
Lung Sounds
Blood Pressure
Medical Terms
Ultrasound
Respiratory Care
Fundamentals
Pediatric Referral
Carotid Bruit
Abdominal Sounds
Repetition Drill
?
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