Extrahepatic Obstruction
Bile Duct Obstruction
Intrahepatic Disruption
Pain, RUQ or right shoulder pain with inflammation
Positive Murphy's sign
Numbness in extremities
Vomiting
Intolerance to fatty foods and dairy products
Migraines
Nausea
Jaundice
Check for lab values
Look for surgical scars or jaundice
Pinpoint location of maximum tenderness
Check for Murphy's sign
Adjust TGC and overall gains
Obtain images in longitudinal and transverse planes with patient supine and left lateral decubitus. Also right lateral decubitus or even erect if necessary.
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