Behavioral Health

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young man has presented with persistent nausea, vomiting, and abdominal pain; at first glance, the list of potential etiologies is wide, encompassing diseases of the chest and abdomen, as well as a variety of metabolic and endocrine conditions.\n\nNote however, one particular oddity in the history - relief of the abdominal pain following warm showers; in a patient with an extensive history of cannabis use, this is strongly suggestive of cannabinoid hyperemesis syndrome (CHS).\n\nIt is important to appreciate that the negative urine drug screen does not exclude this possibility; even after complete cessation of cannabis abuse, symptoms may persist for weeks.\n\nHis differential diagnosis should not stop at this point though; it is still important to consider the potentially lethal conditions which could present in this manner.\n\nThus, when the examination findings of tenderness in epigastric region are considered as well, the possibilities of gastric outlet obstruction, acute or chronic "}]}

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