Two weeks before admission, fatigue, myalgias, night sweats, shaking chills, and midsternal chest pain developed. During the 3 days before admission, the patient also noted fevers. On the morning ...

midsternal chest pain, and lightheadedness. He rated the chest pain at 6 out of 10. The temperature was 39.3°C, the pulse 119 beats per minute, the blood pressure 134/61 mm Hg, the respiratory ...

Statements and pamphlets on cardiac disease stress a classic combination of symptoms including midsternal chest pain or pressure that radiates to the arm or jaw, perspiration, and shortness of breath.

He also experienced pleuritic midsternal pain for the past 7 to 8 ... His physical examination is otherwise normal including chest auscultation and examination of the abdomen.

However, on physical exam, a loud pan-systolic murmur is heard over the 3 rd right intercostal space, and a diastolic murmur is noted at the left midsternal border. The chest x-ray shows right ...