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HEPATOBILIARY CASE Recurrent right upper abdominal pain after meals, bloating, occasional nausea for several months. No fever. 🎥 Watch the gallbladder ultrasound clip carefully. ❓ What is the most likely diagnosis? A. Gallbladder polyp B. Chronic cholecystitis C. Gallbladder adenomyomatosis D. Cholelithiasis with sludge E. Gallbladder carcinoma F. Gallbladder wall edema G. Xanthogranulomatous cholecystitis H. Gallbladder hyperplastic cholecystosis I. Acute cholecystitis J. Cholesterol polyp K.
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Gallbladder halo on POCUS? Don’t jump straight to anaphylaxis. Gallbladder wall edema = hepatic venous congestion, NOT a diagnosis. Key differentials include: -Anaphylaxis -Pericardial effusion -Right-sided CHF/DCM But don't forget to consider: -Iatrogenic volume overload -IMHA & post-transfusion -Plus: cholecystitis, pancreatitis, hypoalbuminemia/3rd spacing, vasculitis, primary GB disease in stable cases Gallbladder wall edema ≠ anaphylaxis in every case. Always pair findings with the full cli
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