Lachman clinical sign pulmonary ultrasound a4c abdominal gallbladder ascites stone gangrenous 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

surrounded by ascites ... Pt had stone stuck ... US Murphy's sign ... cholecystitis #POCUS #clinical ... #ultrasound #RUQ

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