rida
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27 year old man comes to ER because of fever, chills, and pleuritic chest pain for past 2 days. His temp is 102.2. Physical exam shows pinpoint lesions in between his toes and medium pitched midsystolic heart murmur that is best heard at the lower left sternal border. He has multiple hyperpigmented lesions and scars on his inner thighs and upper arms. A chest x ray shows patch infiltrates. Which is the most likely cause of this person's condition?
A) Aortic valve prosthesis
B) Calcific aortic stenosis
C) Injection drug use
D) Rheumatic valvular disease
E) Ventricular septal defect
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| suvi21
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Injection drug abuse...TR..with Infective endocarditis
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| mani
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agree, ,its c
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| rida
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yes you guys are rite!!!
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| mdwannabe
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Just think anatomy... thats the place for tricuspid valve. And what is the most commonn cause of tricuspid endocarditits? :-)
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| mani
Forum Guru
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staph?
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| mdwannabe
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yep! :-) from the skin :-)
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