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A 56-year-old male patient presents to the clinic with febrile episodes with chills for the

A 56-year-old male patient presents to the clinic with febrile episodes with chills for the last 2 days. He has a history of hypertension, type-2 diabetes mellitus, coronary artery disease, and sick sinus syndrome, for which he underwent a permanent pacemaker 3 years ago. On physical examination, you auscultate a new murmur at the midclavicular line in the fifth intercostal space to the left of the sternum. VS: Temp: 100.4; HR: 104 bpm; B/P: 104/ 54 mm Hg. Based on this case scenario, which of the following would you suspect? O a. Myocardial infarction O b. Acute pericarditis O c. Pneumonia O d. Infectious endocarditis

 
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