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<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>