ArticleCureus2024
The Significance of Clinical Suspicion: From Pitting Edema to Streptococcus infantarius Endocarditis.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As advancements in medicine progress, greater emphasis has been placed on laboratory values and imaging rather than the clinical picture. This, as a result, has led to a decline in the use of clinical history and physical examinations. In many instances, some details of the history are glossed over, and performing a physical examination has become more lackadaisical. Here, we would like to present a unique case of a patient who presented to the emergency department with only pitting edema that was worsening for the past few weeks. Vitals were noted to be unremarkable, and the rest of the physical examination only revealed mild ascites and a new heart murmur, which was not present in his previous documented clinic visits. Due to this concerning physical examination finding, a cardiology and hepatology workup was done. It was then revealed that the patient had severe aortic and mitral valve vegetation suggesting infective endocarditis with severe aortic insufficiency due to
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