74 YO Woman with an episode of confusion

• Medical history: Chronic constipation; osteoporosis with multiple compression fractures in the lumbar spine.


• Surgical history: Negative


• Medications: Vitamin supplements


• Allergies: None


• Family history: Both parents lived to their 90s and had high blood pressure and dementia. Both died of pneumonia. She has no siblings.


• Social history: She is a retired educator and lives at home with her husband. She does not smoke cigarettes or use illicit drugs. She occasionally drinks a glass of wine at dinner.