Case Presentation: A 76-year-old male with PMH of atrial fibrillation s/p WATCHMAN device three years prior to presentation, CAD, and COPD presented to the emergency department with altered mental status, generalized weakness, and dysarthria for one day. He denied having any headache, nausea, vomiting, trauma, numbness, tingling, or palpitations. On physical exam, his vitals were [...]