Challenge amenorrhea signs pocus lung sign gallbladder pleural wes effusion a4c distended

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

GB massively distended ... US Murphy's sign ... Ultimately was discharged ... after surgery and long ... #distended #membranes

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... Echocardiogram #a4c ... #pocus #clinical

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