{"doi":"10.5811/cpcem.2021.4.52011","title":"19-year-old Woman with Intermittent Weakness","abstract":"<jats:p>Introduction: Systemic weakness is a common chief complaint of patients presenting to the emergency department (ED). A well thought out approach to the assessment and workup of these patients is key to diagnostic accuracy and definitive therapy. \nCase Presentation: In this case, a 19-year-old female presented to the ED with generalized weakness and near syncope. She had global weakness in her extremities and multiple electrolyte abnormalities. \nDiscussion: This case takes the reader through the differential diagnosis and evaluation of a patient with weakness and profound electrolyte derangements. It includes a discussion of the diagnostic studies and calculations that ultimately led to the patient’s diagnosis.</jats:p>","journal":"Clinical Practice and Cases in Emergency Medicine","year":2021,"id":651674,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1699682,"name":"Neeraja Murali","orcid":null,"position":1,"is_corresponding":false},{"id":1699683,"name":"Laura Bontempo","orcid":null,"position":2,"is_corresponding":false},{"id":426198,"name":"Zachary Dezman","orcid":"0000-0001-6405-724X","position":3,"is_corresponding":false},{"id":1699681,"name":"Garrett Cavaliere","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"19-year-old Woman with Intermittent Weakness","abstract":"<jats:p>Introduction: Systemic weakness is a common chief complaint of patients presenting to the emergency department (ED). A well thought out approach to the assessment and workup of these patients is key to diagnostic accuracy and definitive therapy. \nCase Presentation: In this case, a 19-year-old female presented to the ED with generalized weakness and near syncope. She had global weakness in her extremities and multiple electrolyte abnormalities. \nDiscussion: This case takes the reader through the differential diagnosis and evaluation of a patient with weakness and profound electrolyte derangements. It includes a discussion of the diagnostic studies and calculations that ultimately led to the patient’s diagnosis.</jats:p>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"34437031","pmcid":null,"openalex_id":"https://openalex.org/W3186757768","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.14549818,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://escholarship.org/content/qt9sp1m3w8/qt9sp1m3w8.pdf?t=qxswsn","host_type":"journal"},{"url":"https://escholarship.org/content/qt9sp1m3w8/qt9sp1m3w8.pdf?t=qxswsn","host_type":"publisher"},{"url":"https://doi.org/10.5811/cpcem.2021.4.52011","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/34437031","host_type":"repository"},{"url":"https://escholarship.org/uc/item/9sp1m3w8","host_type":"repository"},{"url":"https://doaj.org/article/e192913eec704abcbc9c2616b75df328","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8373190","host_type":"repository"}],"fields_of_study":["Muscle and Compartmental Disorders","Electrolyte and hormonal disorders","Potassium and Related Disorders"],"mesh_terms":[],"keywords":["Weakness","Medicine","Emergency department","Presentation (obstetrics)","Differential diagnosis","Complaint","Pediatrics","Muscle weakness","Physical examination","Intensive care medicine","Surgery","Internal medicine","Pathology","Psychiatry"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Gender equality"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-10T10:20:54.659511Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}