The patient is 60-year-old gentleman that presents to the ED from the Lincoln Park nursing home. The ED record indicates that he was sent because of lethargy noted in the nursing home and some type of a tremor. The patient denied any fever, chills, nausea, vomiting and else in the ED. When he presented he was afebrile, mildly tachycardic and 13 blood pressure was normal and. His medical history is significant for diabetes mellitus, hypertension, anxiety, schizophrenia the to moderate nonobstructive coronary disease, diabetes, on paroxysmal atrial fibrillation and also question of right shoulder disease. He also is known to have a left above-the-knee amputation. He was admitted he was hydrated to shortly after admission he was stabilized
