Challenge amenorrhea signs pocus sign gallbladder psax stone neck gangrenous membranes 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

POCUS GB done. ... Pt had stone stuck ... GB massively distended ... US Murphy's sign ... #distended #membranes

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