49 y/o female with onset of unexplained dyspnea(no hx of copd, asthma, etc.), hx of uncontrolled diabetes(d-stick was 470 which she described as 'low' for her), hypertension, heart murmur, and regurgitation of unknown valve.
Vitals:
HR of 105
156/88
96% sat
Pt is warm and dry and denies any...