Abstract
Decompensated heart failure is a common clinical syndrome encountered by internal medicine physicians. Identifying the reason for decompensation is vital to the management of this condition, but may require several investigations over the course of a hospital admission. Herein, we describe a patient who presented with new presumed decompensated heart failure. Upon clinical deterioration, point of care ultrasound (POCUS) identified the presence of a mitral valve vegetation, and evidence of aortic and mitral regurgitation, supporting and expediting the presumptive diagnosis of infective endocarditis.
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