Hand pocus ultrasound differential a4c gallbladder ruq liver sign trauma gangrenous 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

Worsening RUQ ... GB massively distended ... US Murphy's sign ... #clinical #ultrasound ... #RUQ #gallbladder

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