Endocarditis

Chief Compliant: The patient is a 50 year old white male with mitral valve prolapse who complains of fever for 4 hours.

History of the Present Illness: Fever, chills, night sweats, fatigue, malaise, weight loss; pain in fingers or toes (emboli); pleuritic chest pain; skin lesions. History of heart murmur, rheumatic heart disease, heart failure, prosthetic valve.

Past Medical History: Recent dental or gastrointestinal procedure; intravenous drug use, recent intravenous catheterization; urinary tract infection; colonic disease, decubitus ulcers, wound infection. History of stroke.

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