mrcem2-0871

A 70-year-old patient arrives at the emergency department complaining of fever, fatigue, and loss of appetite for the past 3 weeks. During the examination, you observe a pansystolic murmur that was not detected during a pre-operative assessment for a cholecystectomy 4 months ago. You start considering the likelihood of infective endocarditis. Which of the following symptoms is commonly associated with infective endocarditis?