50 yo presents with dizziness and lightheadedness causing him to have several falls earlier in the day. One hour prior to arrival, he was walking to the store and had sudden lightheadedness causing him to fall, striking his head and elbow against a wall. The store called EMS, he was going to refuse transport and then collapsed again. He had a fever to 101.3 the day prior to presentation that he measured at home. He had no symptoms associated with the fever aside from some mild central chest pressure last night which is not present currently. He also reports some recent bruising after hitting his abdomen against the side of the bed two days ago.