Cholecystitis and obstruction of the CBD

Images Victoria Bond Text Genevieve Carbonatto A 42 year old lady presents to the Emergency Department with RUQ pain. She has had episodes of cholelithiasis in the past. She is mildly tender in her RUQ. A point of care ultrasound is performed along with the history and examination. This is her ultrasound The GB is Read more about Cholecystitis and obstruction of the CBD[…]


Images by Genevieve Carbonatto Ultrasound is the best imaging modality to diagnose cholecystitis. Cholecystitis is a frequent presentation to the Emergency department. The hall marks include Thickening of the gallbladder wall > 3mm Gallstones Impacted stones in the cystic duct or gall bladder neck Pericholecystic fluid +ve Murphy’s sign Hyperaemic gallbladder wall on colour or power Read more about Cholecystitis[…]

Acalculous cholecystitis

Images by Genevieve Carbonatto A young 33 year old woman presents with 4 days of abdominal pain. She is now febrile and vomiting. She has previously been well. An ultrasound of her RUQ shows acalculous cholecystitis.  While acalculous cholecystitis is usually associated with risk factors such as extensive burns, polytrauma, major surgery, end stage renal disease , Read more about Acalculous cholecystitis[…]