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{
    "pk": 1186,
    "title": "60-year-old Female with Edema",
    "subtitle": null,
    "abstract": "Introduction: \nMany patients present to the emergency department (ED) with nonspecific, acute-on-chronic complaints. It requires a thorough diagnostic approach and broad differential diagnosis to determine whether there is serious, undiagnosed pathology.\nCase Presentation:\n A 60-year-old female presented to the ED for gradually worsening bilateral lower extremity swelling with associated abdominal distension, ascites, diarrhea, vomiting, and weight loss.\nDiscussion: \nThis case takes the reader through the evaluation of a patient with acute-on-chronic complaints who presented in a decompensated state.",
    "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": "Emergency Medicine"
        },
        {
            "word": "clinicopathological conference"
        },
        {
            "word": "case reports"
        },
        {
            "word": "edema"
        },
        {
            "word": "carcinoid tumor"
        },
        {
            "word": "malignant carcinoid syndrome"
        },
        {
            "word": "carcinoid heart disease"
        }
    ],
    "section": "Clinicopathological Cases from the University of Maryland",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8256p81k",
    "frozenauthors": [
        {
            "first_name": "Nikki",
            "middle_name": "A.",
            "last_name": "Cali",
            "name_suffix": "",
            "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Cheyenne",
            "middle_name": "",
            "last_name": "Falat",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Laura",
            "middle_name": "J.",
            "last_name": "Bontempo",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "J.",
            "middle_name": "David",
            "last_name": "Gatz",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        }
    ],
    "date_submitted": "2022-08-08T18:30:42Z",
    "date_accepted": "2022-08-08T18:30:42Z",
    "date_published": "2022-08-08T18:31:31Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1186/galley/925/download/"
        }
    ]
}