 she was given oral antibiotics.  She also saw me few days before admission coming for a followup.  She was doing fairly well.  She was thought to have congestive heart failure and she was advised to continue with her diuretics.  For the last few days, the patient started to have anorexia, she did not eat well, and she did not drink well.  Her family could not take care of her.  So, she was brought to the emergency room, where she was found to have rapid heart rate with a sinus tachycardia around 112 to 130s.  The ________ was found to be dry.  She was given 1 L of IV fluids and she was subsequently admitted in the hospital for further management.