Snout opiate pocus ultrasound gallbladder ruq cholecystitis sign stone cbd wallechoshadow membranes

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

RUQ pain/fever. ... POCUS GB done. ... Pt had stone stuck ... US Murphy's sign ... #ultrasound #RUQ

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WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF

contracted around stones ... Path: chronic cholecystitis ... #WallEchoShadow ... #POCUS #gallbladder ... cholelithiasis #clinical #ultrasound

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