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Right upper quadrant pain and midepigastric pain are common emergency department complaints. This instructional video (available as supporting information in the online version of this paper) provides a basic review of biliary disease processes and explores the application of bedside ultrasound. Instruction is provided on performing bedside biliary ultrasound, including evaluation of the gallbladder for cholelithiasis (Figure 1) and cholecystitis, as well as evaluation of the common bile duct for signs of choledocholithiasis.

Figure 1.  Cholelithiasis. A = gallbladder wall thickness.

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Video Clip S1. Biliary ultrasound.

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ACEM_221_sm_videoclips1.mov50337KSupporting info item

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