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OCR: Fast. but young VO male presents with of palpitations weakness and dizziness with standing denies chest pain or dyspnea, OI prior history same ROS notable for nausea /vomiting due in large part ecen alcohol binge at his old frat house Pmhx feg PE: 100 55 170-190 24 97. pulse oX 99% Chest: clear Card rapid irregular Ext nortal trenor rhythm normal tremor