You are the NP covering admissions and you receive this verbal report: 16 y/o male presents after feeling dizzy and lightheaded in the shower.

You are the NP covering admissions and you receive this verbal report: 16 y/o male presents after feeling dizzy and lightheaded in the shower. He fell, striking his head and causing a laceration to to his left upper eye lid area. The patient’s parents mentioned that he has been feeling ill the past couple days and sleeping more. The patient confirms this adding that he has had bouts of vomiting and some shortness of breath with activities like walking up the stairs at school and gym class. This has been happening for over 2 weeks. He does report some recent anxiety in the past month and states that school is relatively stressful currently and he is studying for the SAT. He is not taking any other medications regularly or PRN. He has a history of tonsillectomy at age 6 and seasonal allergies in the Spring. He does not see any specialists. Family Health History has no indication of any autoimmune, genetic, hematologic, or cancers. Both parents report no chronic health conditions. He has an 18-year-old sister who is healthy. His maternal grandmother has a history of basal cell carcinoma of the back that was cured with surgical excision. His paternal