Case Report Dementia Hypertension

The patient is an 81-year-old female who was brought to the emergency room by her family because of decreasing mental status. She has a long-standing history of dementia, hypothyroidism and hypertension. The patient is complete care given by her husband but he relates that normally when he feeds her meals every day which she is well. He is able to get out of bed with a hoyer lift and she is able to watch television with him but over the last several days he has noticed decreased responsiveness. She does not present with fever however, she does present with white count of 17.1 and left shift and urinalysis with a alarge amount of leukoesterase. The chest x-ray initial report was negative. The attending physician of record is concerned