Challenge amenorrhea signs pocus ultrasound abdominal ascites sbp aaa gallbladder distended 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

Ill-appearing, low BP ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound ... #RUQ #gallbladder

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