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USMLE High-Yield Questions on Instagram: "Little Caesars finally spun the block on bruv 😭🔥 Which gallbladder problem is this? Video: @zachhurthclips ⸻ EXPLANATION This presentation is classic for acute cholecystitis: • RUQ pain after eating fatty food • Gallbladder wall thickening on ultrasound • Often caused by a gallstone obstructing the cystic duct • Can also show pericholecystic fluid or a positive Murphy sign This is inflammation of the gallbladder itself — NOT the common bile duct or pan
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Acute cholecystitis is a pattern, not a single sign. 🫀 Key ultrasound findings: • Gallstones or obstructing stone in the neck • Gallbladder wall thickening (>3 mm) • Sonographic Murphy sign • Gallbladder distension • Pericholecystic fluid or hyperemia Stay posted for more #sonocrew
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