MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 67-year-old man with a prosthetic valve describes intermittent fever and fatigue for several weeks. He has received several short treatments without microbiological documentation. He is currently alert, well perfused and not breathless at rest.
Which history element should structure the investigation?
The prosthetic valve raises concern for endocarditis and warrants an organised specialist assessment with appropriate blood cultures and cardiac imaging. An inconclusive initial echocardiogram may not exclude it. Any clinical deterioration would require emergency care rather than waiting for scheduled tests.