MCC of left sided Infective endocarditis in iv drug users?

17 year old male presented in emergency with left leg as in the pic...No H/O of burn or trauma...H/o of Pleural effusion with pleural tapping done...unavailable drug history....the condition developed over a period of 25 days....loss of sensation and loss of movement...the wound is extremely foul smelling but dry...no H/o of any chronic disease

Case Study A 43 year-old woman presents w/ fatigue, malaise, pharyngitis & fever of 100.7°F that started 8 days ago after an abscess drainage from her gums. Now she has noticed these painless lesions shown on her hands and feet. During examination you also notice subungual hemorrhages of her fingers.Chest radiograph shows pulmonary infiltrates. During cardiac auscultation, you hear a murmur suggestive of tricuspid regurgitation that the patient denies having previously been knowledgeable of. What is the most appropriate diagnosis? a. Endocarditis b. Idiopathic thrombocytopenia purpura c. Peripheral arterial vascular disease d. Systemic lupus erythematosus e. Toxoplasmosis source: https://cme4life.com/case-study/cme4life-top-10-facebook-case-studies/

A 26 years old female complaints of fever with chills for one month. Associated with anorexia, weight loss, lethargy, increased shortness of breath and abdominal pain. Routine Lab investigations are normal except ESR of 120. 2D echo shows diagnostic finding. Diagnosis and management ?

16/Male boy with severe Dyspnoea on and off , Giddiness and Tiredness attached the ECHO What is the Treatment Plan Mitral Regurgitation : Severe Aortic Regurgitation: Moderate

55 yrs female k/c/o RHD,post MVR on acitrom since 10 yrs, developed this kind of rash since two days, platelets 2lakh, inr 2.32,counts 17000,deranged LFT, please interpretate diagnosis, thanks