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

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.

Keywords

• emergency medicine
• thyroid storm
• respiratory alkalosis
• alkalosis
• tachycardia