Blepharospasm meige delayed clinical sign pocus gallbladder stone sbo a4c - GrepMed

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

acute onset CP/SOB ... transit seen in RA. dilated ... with McConnell's sign ... #Clinical #POCUS ... Echocardiogram #A4C

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