An elderly patient is brought into the ER by her son for fever, altered mental status and urinary incontinence. He states that she has a been working in the yard prior too and she may have been dehydrated. She has a history of Parkinson's disease and ran out of her dopamine agonist. Her CK level came back elevated. Her BP and HR are elevated as well. What is the leading diagnosis? Group of answer choices
A. Parkinson's exacerbation
B. Early stages of dementia
C. Guillain Barre Syndrome
D. Neuroleptic malignant syndrome