Case Presentation: A 32-year-old healthy female presented with right lower quadrant abdominal pain, hematuria, and easy bruising for four days. She denied prior episodes and family history. On physical exam, she had stable vital signs, gingival bleeding, and hemorrhagic papules on her hands [image 1] and lip. Her labs were significant for: hemoglobin 11 g/dL, [...]

Background: Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition first reported in adolescent patients in 2010. It is associated with episodic abdominal pain, emesis, and intractable nausea which resemble cyclical vomiting syndrome (CVS) in the setting of chronic use of cannabis. (5,12). Evidence of CHS treatment effectiveness in children is limited to case studies and [...]

Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture [...]

Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The pain was associated with palpitations and shortness of breath. Initial vital signs demonstrated a heart rate of 104 bpm and a [...]

Case Presentation: Our patient was a 29-year-old male with a past history of chronic marijuana use that presented to the hospital with an uncontrolled hemorrhage from his tooth. The patient tripped walking down the stairs and hit his face on a stair cracking his left upper second molar. He reported no other symptoms besides the [...]

Case Presentation: A 22 year-old African American male college student presented with acute abdominal pain radiating to the right flank with associated fever, dark urine, and nonbilious nonbloody vomiting. There was no dysuria or change in bowel habits. Medical history was notable for nephrotic syndrome due to biopsy-proven minimal change disease diagnosed at age 17, [...]

Case Presentation: 23 year old male with history of 8 years of vaping presents with 3 days history of fever, tachypnea, diarrhea, nausea. On initial presentation he had signs of sepsis with hypoxia.Vitals: TMax – 102.7, PR – 119, BP 124/82, RR 28.Labs-WBC-14,800, N- 92%, L 1%, Hb 13.2, Platelets 276, Na 132, K – [...]

Case Presentation: A seventeen year-old male was admitted for two weeks of intractable nausea and vomiting in the setting of daily marijuana use over the last two years. Symptoms were associated with weight loss (9 kg over 2 weeks) and temporarily improved with frequent hot showers (Figure 1). Despite the use of commonly effective antiemetic [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]

Case Presentation: Boerhaave’s syndrome, or effort rupture of the esophagus, is a rare and potentially life-threatening surgical emergency occurring in about 3.1/1,000,000 people per year1. We present a case of Boerhaave’s syndrome associated with cannabinoid hyperemesis syndrome (CHS). Discussion: A 21-year-old male with a history of daily marijuana use for the last 5 years presented [...]