Rebellion21: Not Your Gallbladder – Clutch US Diagnoses in RUQ Pain via Jennifer Carnell, MD

In this 17-minute presentation from Rebellion in EM 2021, Dr. Jennifer Carnell, MD demonstrates how ultrasound can be used to make a diversity of diagnoses in patients with right upper quadrant pain beyond ultrasound’s expected use in the diagnosis of gallbladder/biliary pathology.

Jennifer Carnell, MD
Assistant Professor of Emergency Medicine
Director of Emergency Ultrasound
Baylor College of Medicine
Houston, TX
Twitter: @Ma_Gel_N

Objectives

1. Participants will be able to create a broad differential diagnosis for right upper quadrant pain
2. Participants will be able to discuss ultrasound findings in cardiac tamponade, pulmonary embolism, heart failure and lower lobe pneumonia

Presentation Outline

• 4 clinical cases of right upper quadrant pain
  • Acute Exacerbation of Heart Failure: Ultrasound findings – B lines, poor LV EF, plethoric IVC
  • Pulmonary Embolism: Ultrasound findings – Trace pleural effusion, dilated right heart/right heart strain, plethoric IVC
  • Cardiac Tamponade: Ultrasound findings – Pericardial fluid, right ventricular diastolic collapse, plethoric IVC
  • Lower Lobe Pneumonia: Ultrasound findings – Consolidation, dynamic air bronchograms, hyperdynamic LV EF, collapsing IVC

Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)