Exam questionKROK 2Medicine · 2010
A 33-year-old man with a history of rheumatic fever complains of fever up to 38 — 39°C, abdominal pain, dyspnea, tachycardia. Heart borders are displaced to the left by 2 cm, systolic and diastolic murmurs above aorta, BP of 160/30 mm Hg. Petechial rash occurs after measurement of blood pressure. Liver is enlarged by 3 cm, spleen is palpable. Urine is brown-yellow. What is the most likely diagnosis?
Answer options
- Infectious endocarditis
- Aortic regurgitation
- Rheumatic fever
- Acute nephritis
- Acute hepatitis
Correct answer
Infectious endocarditis
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