What finally brings her to medical attention is development

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Question: A 63-year-old physician has noted increasing fatigue and malaise for the past couple of months. When she takes her temperature, she is surprised to find that it is 100.6°. She also notes some new lesions on her arms and nails. She is too busy to see her own physician. What finally brings her to medical attention is the development of red, painful swelling on the dorsum of her left foot. Her physician notes Roth spots in both eyes and a loud mitral insufficiency murmur. Of note, she has a longstanding history of mitral valve proldose

Reference no: EM133423537

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