The Clinical Picture

A rare complication of infective endocarditis

An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?

The Clinical Picture

Palpable purpura

A healthy 47-year-old woman presents with a 3-day history of widespread asymptomatic lesions in the extremities, fever, arthralgias, and mild...