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{
    "pk": 1057,
    "title": "Staghorn Calculus: A Stone out of Proportion to Pain",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging.\nDiscussion:\n In contrast to ureteral calculi, staghorn calculi are more commonly observed in female patients and typically present with an indolent clinical course. A low threshold for imaging should be maintained, as prompt referral to urology for stone removal or treatment is necessary. Staghorn calculi have a high likelihood of leading to renal failure or urosepsis without treatment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Staghorn"
        },
        {
            "word": "infection stone"
        },
        {
            "word": "struvite"
        },
        {
            "word": "nephrolithiasis"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9pr6f4rp",
    "frozenauthors": [
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Malone",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Internal Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "Riley",
            "middle_name": "",
            "last_name": "Gebner",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "",
            "last_name": "Weyand",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2021-07-27T21:52:35Z",
    "date_accepted": "2021-07-27T21:52:35Z",
    "date_published": "2021-07-27T21:53:23Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1057/galley/799/download/"
        }
    ]
}