Negative comparison diagnosis pediatrics pocus clinical transverse barcode flexor cholecystitis

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This 66M w h/o DM2, renal transplant presented with severe volar hand and wrist pain x

finger, what's the diagnosis ... , all cultures negative ... Here's a transverse ... US @UAB_Sono #Clinical ... #POCUS #Flexor

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

Diagnosis? ... Diagnosis: Gangrenous ... sag and 12.7 cm transverse ... Murphy's sign is negative ... #POCUS #clinical

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