Abdominal Pain
What to scan:
Findings
Use the corresponding finding images to identify what pathology your patient may have. Please remember that multiple diagnoses may exist at the same patient.
Gallbladder:
Normal
Gallbladder:
Normal


Cholelithiasis
Gallbladder:
Cholelithiasis


Stones shadow
Cholecystitis
Gallbladder:
Cholecystitis


Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Choledocholithiasis & Cholangitis
Gallbladder:
Choledocholithiasis & Cholangitis


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Hydronephrosis:
Cholelithiasis
Hydronephrosis:
Normal



Moderate
Hydronephrosis:
Moderate


Cholecystitis
Hydronephrosis:
Severe


Choledocholithiasis & Cholangitis
Hydronephrosis:
Urinary Retention


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Bowel Obstruction:
Bowel Obstruction:


Normal
Bowel Obstruction:


Stones shadow
Bowel Obstruction:


Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Bowel Obstruction:


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Peritoneal Fluid:
Right Upper Quadrant
Peritoneal Fluid:
Right Upper Quadrant


Normal scan
Peritoneal Fluid:
Right Upper Quadrant


Stones shadow
Thickened GB wall
Pericholecystic fluid
Sonographic Murphy’s
Peritoneal Fluid:
Normal right upper quadrant


Normal scan
Peritoneal Fluid:
Left Upper Quadrant


Check between spleen and diaphragm!
Pelvis
Peritoneal Fluid:
Normal pelvis


“Double barrel” looks like second portal vein
+/- signs of cholecystitis
Peritoneal Fluid:
Pelvis


Free fluid in pelvis
Appendicitis:
Appendicitis:


Blind-ended, non-compressible
Please note: it is almost impossible to find an appendix in a normal patient.
AAA:
Normal Aorta
AAA:
Normal aorta


Enlarged AAA
AAA:
Enlarged AAA


Ectopic Pregnancy:
Ectopic Pregnancy:
Normal pelvis


Normal
Ectopic Pregnancy:


Stones shadow
Enlarged or Ruptured Adnexal Cystic Structures:
Stones shadow
Enlarged or Ruptured Adnexal Cystic Structures:
Normal



Ovarian Cyst
Enlarged or Ruptured Adnexal Cystic Structures:
Ovarian Cyst


Look for signs of rupture with free (peritoneal) fluid (shown above)
Scrotum:
Cholecystitis
Scrotum:
Fractured Testicle


Cholelithiasis
We don't have a testicular torsion clip yet, but it is a possible outcome.
If you have a testicular torsion clip to donate, please contact us!
