A 23-year-old man comes to the emergency department due to fever, chills, cough, and shortness of breath over the last week. The patient is alcoholic, and takes heroin IV 4-5 times weekly. His temperature is 39 C, and tachycardiac.On examination, the patient has painful red lsions on the finger pads, with splinter hemorrhages found in both hands. Blood cultres grow staphylococcus aureus. What is the best site for auscultation of the affected valve?

Question

Quizplus · Accepted Answer

Eductional Objective: IE tens to affect patients with IV substance use due to bacteremia.The tricsupid valve is the most affected valve in patients with IV substance use. Tricuspid valve is best heard at the sternal border at the 4th intercostal space.

A 23-Year-Old Man Comes to the Emergency Department Due to Fever