23yo male presents with several days of increasing shortness of breath with exertion, nausea, fatigue. He states that last night he was sitting on his couch when he felt short of breath, associated with intense fatigue and generalized weakness. He tried hydrating himself which did not relieve his symptoms. He states he has been feeling progressively weak over the past 6-7 days. No recent travel, sick contacts, or exposures/tick bites.