Abstract
Emergency-physician-performed point-of-care ultrasound (POCUS) of the gallbladder has been shown to achieve sensitivity and specificity for cholelithiasis and cholecystitis that are similar to that of radiology ultrasound (RUS). However, in our experience, additional diagnostic imaging studies (such as RUS or cholescintigraphy) are often performed after abnormal biliary POCUS to confirm the results. The utility of this strategy is uncertain. We thus sought to determine the test characteristics of biliary POCUS for cholelithiasis and cholecystitis in our hospital system, and to assess the usefulness of obtaining additional imaging after an abnormal biliary POCUS.
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