What is the Diagnosis? By Alyse Volino, MD
- Gallstones present in GB
- (+) sonographic Murphy’s sign (maximal tenderness over the most anterior portion of GB as defined with US imaging)
- Wall thickness of gallbladder over 3mm. Be sure to measure GB wall thickness at anterior aspect to avoid false positive increased secondary to posterior acoustic enhancement!
- Pericholecystic fluid
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8th Edition. Ch 79: Pancreatitis and Cholecystitis. Judith E. Tintinalli.
Soni, Nilam, et. al. Point of Care Ultrasound, 2nd Edition. Ch 27: Gallbladder