q5 - 2confused2bdoctor

[ArchivalUser]

A 27-year-old man with a history of intravenous drug abuse develops a fever over the past 3 days. Physical examination reveals his temperature to be 39.1 C. He has a heart murmur. His spleen tip is palpable. Echocardiography reveals large vegetations involving the aortic valve. Which of the following complications is most likely to develop during the next week?
A Lung abscess
B Hemopericardium
C Mycotic aneurysm
D Valvular stenosis
E Annular calcification

[ArchivalUser]

C Mycotic aneurysm ? hard one

[ArchivalUser]

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[ArchivalUser]

??C

[ArchivalUser]

good job..CC it is. Septic emboli from vegetations of infective endocarditis can lodge in arteries, causing focal destruction of the arterial wall with aneurysmal dilation--a mycotic aneurysm.