Snapshot A 45-year-old man presents to the emergency department for generalized malaise and fatigue. His symptoms are associated with fever and chills. He denies any sick contacts or recent travel and cannot identify a possible cause for his symptoms. Medical history is unremarkable. His temperature is 101°F (38.3°C), blood pressure is 140/88 mmHg, pulse is 100/min, and respirations are 18/min. Physical examination is notable for a new heart murmur and splinter hemorrhages. A transthoracic echocardiogram demonstrates mitral valve vegetations and blood cultures grow Streptococcus gallolyticus. Preparations are made for a colonoscopy. Introduction Classification login to view 5 more bullets Reservoir login to view 1 more bullet Associated condition login to view 1 more bullet Presentation Endocarditis login to view 10 more bullets Treatment Medical login to view 3 more bullets