78 year old female with PMHx HTN, dCHF, Diabetes, CKD, Atrial fibrillation on coumadin, ischemic stroke, admitted after presenting with confusion and somnolence. She was recently discharged after presyncope/falls. Patient has had confusion at home for 3 weeks. The patient denies headache, blurry vision, numbness, tingling or weakness, nausea or vomiting.