PNA vs. Viral URI vs. Influenza likely given pts recent fever and generalized malaise
Angina less likely given lack of CP however given pts HLD and HTN plan trop x1
CHF less likely given lack of LE Edema/DOE/chest pain. Defer troponin/bnp
PE given lack of shortness of breath Wells low risk
Less likely PTX given SOB however plan CXR
Given pts hx concern for pulmonary HTN, plan CXR and VBG
Doubt aortic dissection given vital sign instability and lack of hypertension/aortic valve disease/smoking hx