A 28 year old with known congenital heart disease develops small,

Question Number 0214

Question:
A 28 year old with known congenital heart disease develops small, tender subcutaneous nodules in the pulp of the digits. On examination modules were red and tender. The patient was noted to have splenomegaly and a new heart murmur The finger tip nodules are most likely secondary to

a) septic emboli
b) paradoxical emboli
c) fibrin emboli
d) bone fragment emboli
e) air emboli


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