GB - Thick biliary sludge, pain abdomen not settled by Diclofenac 75, Next oral analgesic of choice?

54 year old female patient a known case of cad old asmi ,type 2 Dm, htn was admitted under diabetologist with abdominal pain ,found to have calculous cholecystitis was advised lap cholecystectomy by surgeon ,saw for surgical fitness pt had exertional angina also .I did cag for surgical fitness which showed SVD in lad critical.so far discussion how many would have stented then later gone for non cardiac surgery or how many would have done the other way ?

43years female patient k/c/o dm presented with pain in rt hypochondriac region vomiting 2episode in one year two times usg done same report kibdly help in further managment

48 yr female with abdominal pain and fever DIAGNOSE

Female pt 70 yrs presented with pain abdomen since 1 month - non radiating more in upper abdomen on rt side. & fever since 8 days with chills and rigors more @ morning relived on medication no h/o constipation no h/o vomiting no h/o yellowish discoloration of skin or eyes or urine.

showing H and E stain of gall bladder body, query- what are those golden yellow colour spot ?