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06 / Cardiac Surgery · advanced

Fever, and a murmur that is new

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Three weeks of fever

He is thin and unwell. There are splinter haemorrhages, a tender finger pulp lesion, and a pansystolic murmur at the lower sternal edge that increases on inspiration. Old notes record no murmur.

Open in 3D: the tricuspid valve and right heart

Which valve is most likely involved, and why?

SurgSpace TutorContext-aware, and it will not spoil the case.