Surgery Book

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RUQ Ultrasound

Aka: RUQ Ultrasound, Gallbladder Ultrasound
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  1. Efficacy in Cholelithiasis
    1. Test Sensitivity for Gallstones: 95%
    2. Test Specificity high
    3. Can visualize Gallstones >= 2 mm
  2. Evaluation of Cholecystitis
    1. Findings suggestive of Cholecystitis
      1. Presence of Gallstones
      2. Thickened gallbladder wall
      3. Gallbladder distension
      4. Pericholecystic fluid
      5. Positive sonographic Murphy Sign
    2. Interpretation: Above findings present
      1. CholecystitisPositive Predictive Value (PPV) 90%
    3. Interpretation: Above findings absent
      1. Cholecystitis unlikely

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