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Gallbladder halo on POCUS? Don’t jump straight to anaphylaxis. Gallbladder wall edema = hepatic venous congestion, NOT a diagnosis. Key differentials include: -Anaphylaxis -Pericardial effusion -Right-sided CHF/DCM But don't forget to consider: -Iatrogenic volume overload -IMHA & post-transfusion -Plus: cholecystitis, pancreatitis, hypoalbuminemia/3rd spacing, vasculitis, primary GB disease in stable cases Gallbladder wall edema ≠ anaphylaxis in every case. Always pair findings with the full cli
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