Solve this exciting clinical case specific to your field of interest via Docplexus’ clinical case challenge. Join your fellow doctors to discuss and answer today’s question.

Source: All Medical Questions and Answers A 66 years old man has developed chronic renal failure with a serum urea of 60 mmol/L and creatinine of 650 micromol/L. Auscultation of chest reveals a friction rub over the cardiac apex.