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{
    "pk": 830,
    "title": "Unsuspecting Dietary Factors in Hyperkalemia: A Case Report on Why History Matters",
    "subtitle": null,
    "abstract": "Introduction: We present a case of hyperkalemia secondary to excessive dietary intake of hard caramel candies.\nCase Report: An 88-year-old male who presented with acute abdominal pain and vomiting was found to have hyperkalemia of 6.9 milliequivalents per liter. He was stabilized, treated, and discharged the following day after resolution. The cause was identified as his daily consumption of 200 hard caramel candies.\nDiscussion: The patient had been consuming sugar-free candies, which induced a chronic diarrhea. This led to potassium wasting and augmentation of his home medications. When he transitioned to eating regular caramel candies, he retained too much potassium leading to his presentation.\nConclusion: While often overlooked, dietary history is a crucial part of history-taking to ensure that the underlying cause for illness is discovered and addressed.",
    "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": "Hyperkalemia"
        },
        {
            "word": "diet"
        },
        {
            "word": "history taking"
        },
        {
            "word": "dietary habits"
        },
        {
            "word": "sorbitol and diarrhea"
        }
    ],
    "section": "ACOEP Case Reports (Invitation Only)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6z35c4s9",
    "frozenauthors": [
        {
            "first_name": "Kevin",
            "middle_name": "",
            "last_name": "McLendon",
            "name_suffix": "",
            "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi; William Carey University College of Osteopathic Medicine, Department of Emergency Medicine, Hattiesburg, Mississippi",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Wiggins",
            "name_suffix": "",
            "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi",
            "department": "None"
        },
        {
            "first_name": "Derek",
            "middle_name": "",
            "last_name": "Hunt",
            "name_suffix": "",
            "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi",
            "department": "None"
        },
        {
            "first_name": "Alex",
            "middle_name": "",
            "last_name": "Gauthier",
            "name_suffix": "",
            "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi",
            "department": "None"
        },
        {
            "first_name": "Deepu",
            "middle_name": "",
            "last_name": "Thoppil",
            "name_suffix": "",
            "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi",
            "department": "None"
        }
    ],
    "date_submitted": "2020-04-24T02:47:49+03:00",
    "date_accepted": "2020-04-24T02:47:49+03:00",
    "date_published": "2020-04-24T02:48:41+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/830/galley/583/download/"
        }
    ]
}