Gall Bladder case study I am an Ultrasound student and was assigned a case of th

Question

Gall Bladder case study

I am an Ultrasound student and was assigned a case of the week to diagnose given patient history and images.

Pt history:

44 years old female

Epigastric radiating to back pain x 2, lasts several hours

Last episode 2 days ago

Presents with anorexia and persistent RUQ tenderness on physical exam

Not feverish, normal WBCSagittal Gallbladder

BELOW ARE THE IMAGES TO HELP DETERMINE THE DIAGNOSIS. CAN YOU PLEASE TELL ME A LITTLE OF WHAT YOU'RE SEEING IN EACH IMAGE TO GET TO THE FINAL DIAGNOSIS?

MY guess is that the patient has a large gallstone.. but it appears that there is a lot more going on...

Thank you so much for any help!

Explanation / Answer

Gallstones are rock-hard build ups of preserved bile, which is shaped by the liver, stowed in the gallbladder and concealed into the bowel through the bitterness channels to assistance abridgment of fats. Approximately gallstones do not harvest indications. Though, they can reason an obstruction inside the bile channel or gallbladder which may consequence in pain and irritation, an illness named cholecystitis.

The medic may custom abdominal CT, MRI / MRCP, or abdominal ultrasound to aid analyze the condition. Management may not be essential if you do not have indications. If, though, you are identified with cholecystitis, your doctor may recommend antibiotics and surgical elimination of the gallbladder. If a gallstone has congested a bile channel, the medic may recommend biliary interferences such as endoscopic backward ERCP or percutaneous trans-hepatic cholangiography to discover and/or eliminate the obstruction.

Imaging is cast-off to deliver the medic with respected data about gallstones, such as place, scope and effect on organ utility. Some kinds of imaging that the medic may command comprise:

-Abdominal ultrasound: Ultrasound crops depictions of the gallbladder besides bile ducts. It displays marks of swelling or signs that there is obstruction of bile flow. Ultrasound is the furthermost communal test achieved to assess gallbladder irregularities.

-Abdominal CT: CT quickly foodstuffs thorough images of the gallbladder besides bile ducts to expression for symbols of swelling or suggestions that there is obstruction of bile movement.

-Magnetic resonance cholangiopancreatography also known as MRCP: MRCP is an MRI examination that harvests thorough imageries of the liver, gallbladder, bile ducts, pancreas and pancreatic channel. It classifies gallstones in addition can display gallbladder or bile duct swelling or obstruction.

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