DeWinter twaves sign ultrasound echocardiogram pocus gallbladder cholecystitis ruq comettail

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Emphysematous cholecystitis! Look for: Comet-tail artifact from abrupt change of acoustic impedance at a soft tissue/gas

GB (champagne sign ... ) - Arizona Ultrasound ... SonoStache #Clinical #POCUS ... #Gallbladder #Emphysematous ... #CometTail

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

Gangrenous cholecystitis ... Worsening RUQ ... POCUS GB done. ... US Murphy's sign ... #ultrasound #RUQ

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