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A 37-year-old Woman with Altered Mental Status and Urinary Frequency

Keywords: emergency medicine , thyroid storm , respiratory alkalosis , alkalosis , tachycardia

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Abstract:

We present a case report of a patient who initially presented with altered mental status andsignificant urinary frequency. Over the course of her emergency department stay, she thendeveloped tachycardia out of proportion to a new fever along with a respiratory alkalosis. Althougheach objective finding has a broad differential diagnosis, thyroid storm was the only unifyingdiagnosis when all findings were present.

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