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{
    "pk": 7561,
    "title": "A 37-year-old Woman with Altered Mental Status and Urinary Frequency",
    "subtitle": null,
    "abstract": "We present a case report of a patient who initially presented with altered mental status and significant urinary frequency. Over the course of her emergency department stay, she then developed tachycardia out of proportion to a new fever along with a respiratory alkalosis. Although each objective finding has a broad differential diagnosis, thyroid storm was the only unifying diagnosis when all findings were present. [West J Emerg Med 2013;14(2):177-179.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 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\nNonCommercial — You may not use the material for commercial purposes.\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-nc/4.0"
    },
    "keywords": [
        {
            "word": "Hyperthyroidism"
        },
        {
            "word": "urinary frequency"
        },
        {
            "word": "altered mental status"
        },
        {
            "word": "emergency department"
        },
        {
            "word": "endocrinology"
        },
        {
            "word": "Urology"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/23p5z5mj",
    "frozenauthors": [
        {
            "first_name": "Deepa",
            "middle_name": "",
            "last_name": "Ravikumar",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": "None"
        },
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Lin",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": "None"
        }
    ],
    "date_submitted": "2012-09-17T20:36:28-04:00",
    "date_accepted": "2012-09-17T20:36:28-04:00",
    "date_published": "2013-01-24T17:05:00-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7561/galley/4449/download/"
        }
    ]
}