b12 peds clinical photo pocus ultrasound gallbladder ascites stone cirrhosis membranes malignant

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GB stones shadow... cancer does not. Here is an unfortunate case of cholangiocarcinoma with abdominal ascites.

GB stones shadow ... @eabramsMD #Malignant ... #Ascites #Clinical ... #POCUS #AbdominalUS ... #Ultrasound

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

on POCUS Worsening ... POCUS GB done. ... surrounded by ascites ... Pt had stone stuck ... #clinical #ultrasound

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