FCEM2-0449

A 82 year old woman is brought into the emergency department by her two daughters. They are worried as the patient has become more disoriented and restless over the past two nights and has started shouting out. The patient’s daughters inform you that the patient has limited mobility, relying on a wheelchair except for very short distances, but typically maintains normal awareness. When attempting to gather a medical history, the patient angrily tells you to ‘go away’ and repeatedly asks her daughters ‘where am I?’