<br />
Ultrasound<br />
A case study by<br />
John Bailitz, MD<br />
EM Physician and Clinical<br />
Ultrasound Leader<br />
Jennifer Rogers, MD<br />
EUS Fellowship Director, John H Stroger<br />
Hospital of Cook County<br />
Clinical Instructor, Rush Medical College<br />
A patient with<br />
acute cholecystitis<br />
Philips Lumify case study<br />
At 3:00 AM, a 37-year-old female with a past medical<br />
history of diabetes and peptic ulcer disease was seen<br />
in our busy emergency department. The patient presented<br />
with two days of worsening diffuse abdominal pain,<br />
nausea, and vomiting. The initial abdominal exam<br />
revealed severe tenderness, mostly in the epigastrium<br />
but also in the upper abdomen bilaterally.<br />
After a negative point-of-care pregnancy test and<br />
a normal creatinine, a CT scan was performed to evaluate<br />
for a potential perforated ulcer. The CT scan was normal.<br />
Intravenous fluids,<br /> <a title="Philips-POC-DrBailitz-CaseStudy_FNL-Zmag page 1" href="http://viewer.zmags.com/publication/335b8029?page=1"> Ultrasound A case study by John</a>
<a title="Philips-POC-DrBailitz-CaseStudy_FNL-Zmag page 2" href="http://viewer.zmags.com/publication/335b8029?page=2"> A patient with acute cholecystitis Clinical cas</a>
<a title="Philips-POC-DrBailitz-CaseStudy_FNL-Zmag page 3" href="http://viewer.zmags.com/publication/335b8029?page=3"> Long-axis view of the gallbladder. </a>
<a title="Philips-POC-DrBailitz-CaseStudy_FNL-Zmag page 4" href="http://viewer.zmags.com/publication/335b8029?page=4"> A patient with an acute cholecystitis Clinical </a>