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


  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)

Cite this article as: Salim Rezaie, "Rebellion21: Not Your Gallbladder – Clutch US Diagnoses in RUQ Pain via Jennifer Carnell, MD", REBEL EM blog, November 4, 2021. Available at:
The following two tabs change content below.

Salim Rezaie

Emergency Physician at Greater San Antonio Emergency Physicians (GSEP)
Creator & Founder of REBEL EM

Like this article?

Share on facebook
Share on Facebook
Share on twitter
Share on Twitter
Share on linkedin
Share on Linkdin
Share on email
Share via Email

Want to support rebelem?

Leave a Comment

Time limit is exhausted. Please reload CAPTCHA.