Cannabinoid hyperemesis syndrome is recurrent nausea, vomiting, and cramping abdominal pain that can occur due to prolonged, high-dose cannabis use. Complications are related to persistent vomiting and dehydration which may lead to kidney failure and electrolyte problems
CASE STUDY ON
CANNABINOID HYPEREMESIS
SYNDROME (CHS) CANNABIS
ADDICTION
, HISTORY OF PATIENT
1. Biodata of patient
✓ Name: Nachhatar Singh s/o Avtar Singh
✓ Age: 35 years
✓ Gender: Male
✓ Religion: Sikh
✓ Address: VPO Banawali , Fazilka
✓ Education: +2
✓ Occupation: Farmer
✓ Marital status: married
✓ Languages known: Punjabi
✓ Monthly income: 25,000/-
✓ Date of Admission: 14/12/18
✓ CRF: PFDGG20180335041 IP
✓ Reason for admission : For de addiction and treatment purpose
✓ Diagnosis: cannabis dependence (F 11.2)
Informant:
✓ Patient
✓ Reliability of Informant: reliable
2. CHIEF COMPLAINTS:
According to records:
✓ h/o intake of substance X 7-8 years
✓ h/o intake of tab. Tramadol SR – 4-5 tab/day X 7-8 years
✓ h/o intake of tobacco 1 packet /day X 7-8 years
✓ h/o intake of cannabinoids 2-3 balls /day X 4-5 months
✓ h/o intake of alcohol occasionally
✓ Disturbed sleep pattern
✓ Decreased sleep
✓ Irritability X 2 weeks
✓ Generalized body ache
, ✓ Lacrimation
✓ Constipation
3. HISTORY OF PRESENT ILLNESS:
✓ Mode of onset: Insidious
✓ Course of illness: continuous
✓ Progress: Deteriorating
▪ Predisposing factors : conflicts with family and wife
▪ Aggravating factors : lack of concentration in work
4. PAST HEALTH HISTORY
▪ Medical history:
✓ No H/O hypertension, Diabetes mellitus , Asthma, or any other medical illness.
✓ No h/o neurological disorders
✓ No h/o convulsions
✓ No h/o unconsciousness
✓ No h/o HIV, visceral disorders
✓ No H/o hypertension
▪ Surgical history:
No h/o head injury
No h/o surgical treatment
No h/o medico legal involvement
▪ Psychiatric history :
H/o substance abuse * 7-8 years
h/o decreased interest in work
no h/o thought insertion , thought withdrawal , thought broadcast
no h/o suspiciousness
no h/o crying spells
no h/o suicidal thoughts
5. FAMILY HISTORY
Sr . Members Relation with Education occupation Health status
no. Patient
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