Encephalopathy panel). Unclear whether current presentation is 2/2 to infectious etiology. Patient has extensive exposure to various animals including rodents. Though suspicion for Leptospirosis etiology is low, in the setting of pending data for other workup and patient appearing clinically worse than prior, please begin Doxycycline today. Clinical improvement with Doxycycline may provide additional diagnostic data. Considered rabies given recent exposures (e.g. bats), but this is less likely as patient says she has been vaccinated against rabies in the past. Recommendations: Begin IV Doxycycline 100 mg BID Medical Decision Making: CPT ICD-10