A 46-year-old woman with active injection drug use presents with fever, chills and a new systolic murmur. There are splinter haemorrhages on her nails...

Question

A 46-year-old woman with active injection drug use presents with fever, chills and a new systolic murmur. There are splinter haemorrhages on her nails. What is the most appropriate initial investigation to confirm the suspected diagnosis?

Accepted Answer

Transthoracic echocardiogram and multiple sets of blood cultures

Answer

Single blood culture and chest x-ray

Answer

CT chest with contrast

Answer

Transoesophageal echocardiogram only

Answer

Stress echocardiogram

ca-mccqe1 MCQ (SBA): Infective endocarditis

A 46-year-old woman with active injection drug use presents with fever, chills and a new systolic murmur. There are splinter haemorrhages on her nails. What is the most appropriate initial investigation to confirm the suspected diagnosis?