Abstract: Postural hypotension is a common presentation in elderly coming in with falls. There are inconsistencies in the measurement and documentation of Lying/Standing B.P. during acute admission in elderly patients presenting with a fall as an inpatient.1Common causes are sepsis, dehydration, delirium, loss of autonomic tone in the elderly, medications-ACE inhibitor/ARB, diuretics, alpha blockers, beta blockers, autonomic neuropathy secondary to diabetes.2