Past medical history was significant for dementia and cerebrovascular accident (CVA). On admission, the patient's family was concerned regarding her acute change in mentation given her history of CVAs. Her vitals were significant for tachycardia to 103 beats per minutes. Her labs revealed leukocytosis of 23.4 thousand/mm 3 . Given AMS, Computed tomography (CT) head was obtained which revealed no evidence of acute intracerebral event. CT abdomen was also obtained given her abdominal pain