37 yo female presents with complaints of increasing generalized malaise over the past 2 weeks as well as a fever and nausea. She endorses a history of intravenous drug use (IVDU). On physical exam, you appreciate a faint systolic murmur. Before any lab tests or other imaging have been done, you obtain the following echo:
This is a critically ill 59 year old diabetic male who presents with severe altered mental status and a fever of 103.4F. You intubate the patient upon arrival because he does not appear to be protecting his airway. Vitals show a systolic blood pressure of 60/40. You obtain the following ultrasound of the neck vessels. What does the patient need based on this scan?
42 year old female with no past medical history presents with increasing foot pain over the past 5 days. She reports that she has had decreasing sensation in the plantar surfaces of both her feet over the past few months, but did not think anything of it. She also endorses subjective fevers and nausea.
This 56 year old male presents with right sided hemiparesis and expressive aphasia. What finding here could be the origin of these symptoms?
This patient is a 67 year old male who presents with lower abdominal pain associated with urinary frequency. What finding here places the patient at increased risk of cystitis?