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Hx: 69yo male complains of lightheadedness when he stands up. Denies chest pain or dyspnea currently.

VS: P 50 BP(supine) 100/62 BP(seated) 88/42 RR 16 O2Sat89%

PE: alert, cooperative; no JVD; heart slow, you think you might hear a murmur; bibasilar crackles in the lungs; 2mm pedal edema