Cholecystitis duct (common bile duct stone). Less commonly, blood aminotransferases are elevated. The degree of elevation of these laboratory values may depend on the degree of inflammation of the gallbladder. Right upper quadrant abdominal ultrasound is most commonly used to diagnose cholecystitis. Ultrasound findings suggestive of acute cholecystitis include gallstones, pericholecystic fluid (fluid surrounding the gallbladder), gallbladder wall thickening (wall thickness over 3 mm), dilation of the bile duct, and sonographic Murphy's sign. Given its higher sensitivity, hepatic iminodiacetic acid (HIDA) scan can be used if ultrasound is not diagnostic. CT scan may also be used if complications such as perforation
Species affected by poaching Western states. Commercial poachers kill grizzly bears, moose, bighorn sheep, elk, mountain lions, eagles and snakes. Domestic bear species such as American black bear are slaughtered for their body parts that are used for exotic foods, medicinal purposes and as aphrodisiacs. Walrus is poached for the ivory of their tusks, white-tailed deer for antlers and meat, bobcats for their pelts, and bighorn sheep as trophies. Elk antlers and seal penises are used for medicinal purposes. Paddlefish and sturgeon eggs are sold as caviar. Redfish, shellfish, trout and salmon are poached for meat, snakes for their skins, bald eagles for their