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Review Question - QID 107369

Endocarditis Treatment Nonoperative QID: 107369 (M2.CV.17.4686)
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QID 107369 (Type "107369" in App Search)
A 35-year-old homeless man is admitted to the medical floor. The patient has a history of intravenous drug abuse and has been arrested multiple times for theft. The patient was recently living in a shelter when he started having fevers. He is complaining of epigastric pain that has been ongoing for the last week. His temperature is 103°F (39.4°C), blood pressure is 107/58 mmHg, pulse is 110/min, respirations are 17/min, and oxygen saturation is 98% on room air. There is a decrescendo murmur present along the right sternal border with an EKG shown in Figure A. Blood cultures are drawn and 1.5 liters of IV fluids are administered. Which of the following is the best next step in management?
  • A
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  • A