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with _______ you cant always depend on seeing a thick gb wall bc about 25% will show a gb wall that looks normal

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Final answer:

In acute cholecystitis, a thick gallbladder wall is a common ultrasound finding but not present in all cases, as 25% may appear normal. Diagnosis is made by combining clinical signs with other imaging and diagnostic studies.

Step-by-step explanation:

When dealing with acute cholecystitis, you can't always depend on seeing a thickened gallbladder (GB) wall, because about 25% of cases will show a GB wall that appears normal on imaging studies.

Acute cholecystitis is the inflammation of the gallbladder, usually due to a gallstone obstructing the cystic duct. This condition can be diagnosed with a combination of clinical presentation, such as right upper quadrant pain, nausea, vomiting, and fever, as well as imaging techniques like ultrasound.

While a thickened GB wall on an ultrasound is a common finding, it's not present in every case, thereby necessitating the consideration of other diagnostic criteria. Other diagnostic tools can include a hepatobiliary iminodiacetic acid (HIDA) scan, which can provide functional information about the gallbladder.

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