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em@3am

EM@3AM: Endocarditis

A 26-year-old female presents with fevers and chills. She is febrile and tachycardic, with normal BP. You think you hear a murmur on exam, and on further questioning, she says she regularly uses IV drugs. What should you consider, and what are your next steps?

em@3am

EM@3AM: Hypertensive Emergency

A 63-year-old female presents with nausea, vomiting, and altered mental status. Initial VS demonstrate BP 225/121, HR 88, 98% RA, T 98F, RR 18. What are your next steps?