The patient is an 80-year-old female who presents to the ED on the day of admission complaining of weakness and inability to get around. It is to be noted the patient was seen in the ED on 3/11/2017. Complete workup at that time she had fallen have a cat scan and abdominal CAT scan. The abdomen and pelvis showed fluid-filled small bowel favoring ileus. Her medical history is significant for colon cancer, hypertension and Parkinson's disease. She was discharged from the ED on the 11th but was sent back again on the 13th by the primary doctor because of this profound weakness. A repeat exam shows her to be markedly dehydrated at the time. She has no positive neurologic findings. Troponins are mildly elevated at 0.023, 21,24 and her total
