presenting with altered mental status, characterized as decreased responsiveness that was discovered today by a family member. Currently, the symptoms are persistent. The last known well time is unknown.
No recent head trauma, illicit drug use, medication changes.

There is associated generalized weakness with difficulty standing and walking.
The patient’s usual cognition is alert and oriented.
The patient’s usual ability to walk is walking without assistance.

Associated symptoms include:
Negative recent illness or fever
Negative nausea or vomiting
Negative headache
Negative focal numbness or weakness
Negative seizure activity

Social History: Patient denies any recent alcohol