Metastases cxr pocus sign abdominal liver ultrasound ascites sbp gallbladder lung cholecystitis

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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 ... after surgery and long ... #ultrasound #RUQ

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Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)

Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver

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