The nurse practitioner is examining a 29 year-old male with history of IV drug abuse. He presents with complaints of fever, chills, chest pain, palpitations, shortness of breath, fatigue, night sweats, aching joints, and a persistent cough. The nurse practitioner suspects infective endocarditis. He auscultates a tricuspid regurgitation murmur and suspects vegetation of the same valve. What classical systemic physical exam findings would be associated with this diagnosis?
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