What's the Diagnosis?
A 42 year-old female presents with HTN, DM, and obesity 4 days of abdominal pain. The pain is worsened by eating and associated with nausea; her vitals are within normal limits and she is afebrile. What's the diagnosis?
Answer: Cholelithiasis without cholecystitis
Ultrasonographic Findings of Cholelithiasis and Cholecystitis:
Cholelithaisis: visualization of hyperechogenic object with shadowing, generally >5mm in size
- Gallbladder wall thickness > 3mm
- Pericholecystic fluid
- Sonographic Murphy's sign
Choledocholithiasis: Dilation of common bile duct (>5mm is suspicious, >8mm pathogenic)