Challenge amenorrhea signs pocus lung sign gallbladder pleural wes complex gangrenous ruq

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Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS

Worsening RUQ ... US Murphy's sign ... Ultimately was discharged ... after surgery and long ... clinical #ultrasound #RUQ

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