@the_sonoguy3: Wait…this isn’t appendicitis? 👇 Right lower quadrant pain? Diarrhoea? Think Crohn‘s especially in cases of these US findings 🧠 🔍 Typical ultrasound findings in Crohn’s terminal ileitis • Bowel wall thickening (>3–4 mm) • Stratified wall pattern (“target sign”) in active disease • Hypervascularity on Color Doppler 🔥 • Reduced compressibility • Luminal narrowing ± prestenotic dilatation • Inflamed mesenteric fat (“creeping fat”) • Enlarged reactive lymph nodes 🚨 Red flags to actively look for • Stenosis • Fistula or abscess • Free fluid • Loss of wall stratification (severe inflammation) 🧠 POCUS pearl: Ultrasound is excellent for activity assessment, follow-up, and complication screening — no radiation, repeatable, bedside. 📍 Always correlate with symptoms, labs, and history. 👇 Do you routinely scan the terminal ileum in RLQ pain?

The_sonoguy

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Saturday 03 January 2026 16:44:36 GMT