Pulseless Disease (low/no pulse in upper extremities) Takayasu arteritis

Smoking Buerger Disease (thromboangiitis obliterans)

Nasopharyngeal ulcers Granulomatosis with polyangiitis

PYR test positive enterococcus

Poor dental work Strep viridans

Endocarditis agent that does not show up on routine culture bartonella

Splinter hemorrhages endocarditis

coxsackie myocarditis

Vegetations on both sides of valve Libman sacks

Midsistolic crescendo decrescendo murmur that INCREASES with inspiration Pulmonic stenosis

Fixed split S2 Atrial septal defect

Dx by increase ESR Giant cell temporal arteritis

Cystic medial degeneration Marfan’s syndrome

String of beads Polyarteritis nodosa