Repeat Biliary Point of Care Ultrasound for Detecting Early Acute Cholecystitis
The goal of this interventional, prospective study is to determine the clinical utility of a repeat point-of-care ultrasound of the gallbladder in adult emergency department patients with abdominal pain for which initial imaging is not diagnostic. The main question it aims to answer is: Does a repeat ultrasound improve early identification of gallbladder inflammation? Participants will undergo a repeat ultrasound of the gallbladder while still in the emergency department and will be followed up to determine subsequent diagnoses, disposition, consultations and other clinical information.
• ≥ 18 years of age
• Presenting to the emergency department with abdominal pain with clinical concern for possible acute cholecystitis
• Initial biliary US interpreted as normal, equivocal or negative for acute cholecystitis
• 2-6 hours since initial biliary ultrasound with ongoing symptoms
• General surgery consult placed or additional non-ultrasound advanced imaging ordered
• Fluency in English or Spanish