ISSN: 2165-7548
Karin Reed, Mark Langdorf and Carrie Chandwani
A 62 y/o female with no significant past medical history, presented with confusion, disorientation and short- term memory loss for approximately one hour prior to arrival in the Emergency Department (ED). She recalled driving to work and then suddenly felt like she was in a “dream-like state”, and could not recall any events since that time. She arrived at work, where a security guard found her wandering around confused and 911 was called. EMS arrived to find patient on the bathroom floor, disoriented. On arrival to the ED, she was alert but oriented only to self. She kept repeating the same questions: “Am I having a dream?”, and “How did I get here?” She was feeling well and acting appropriate the night before, according to her husband. She could, with some effort and concentration, remember the names of her husband and children. She took no medications, and family history was negative for stroke or seizure.