Romberg lung pocus clinical sign gallbladder effusion pneumothorax a4c spine pericarditis membranes

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... Echocardiogram #a4c ... #pocus #clinical

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

POCUS GB done. ... US Murphy's sign ... after surgery and long ... Robert Jones @RJonesSonoEM ... #clinical #ultrasound

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