Pediatric Emergency Medicine Follow Up: Cannabinoid Hyperemesis Syndrome

A 17 y.o. female with PMH significant for ADHD, anxiety, and depression presents to the Children’s Hospital Emergency Department with a chief complaint of vomiting, accompanied by her mother. She states that she has been vomiting for two days. Since that time, she has lost count of the number of times she has vomited. She denies seeing red or black in her emesis and tried taking Pepto-Bismol but vomited the medication.She was able to shower once which helped a little…

Read More
Distal Radius Fractures

A 65-year-old right hand-dominant female was brought in by ambulance after a motor vehicle collision with left wrist pain and deformity. She states she was driving when another car turned and drove into the front of her car. She was wearing a seatbelt, the road speed limit was 35 MPH, and the front airbags deployed. There was moderate damage to the vehicle. However, the patient was able to self-extricate and was ambulatory on scene. She denied head strike, loss of consciousness, or taking blood thinners. She states she was in her usual state of health prior to this event…

Read More
Just One Bite: An Unusual Case of Abdominal Pain

A 64-year-old male with a history of hypertension, glaucoma, and central retinal vein occlusion presents to the emergency department in August with 2 weeks of progressively worsening, non-radiating abdominal pain. He describes feeling something “stuck” in his upper abdomen. He developed a dry cough around the same time as the abdominal pain and finds that coughing exacerbates the pain…

Read More
A Real Pain in the Neck

A 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…

Read More