,HISTORY OF PRESENT ILLNESS:,  The patient is an 84-year-old female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever. 
,HISTORY OF PRESENT ILLNESS : , The patient is an 84 - year - old female admitted with jaundice and a pancreatic mass who was noted to have a new murmur , bacteremia , and fever .