A patient with Cannabinoid Hyperemesis Syndrome may develop hypophosphatemia.
Factors that may contribute to the hypophosphatemia include:
(1) prolonged vomiting
(2) respiratory alkalosis (secondary to hyperventilation)
(3) malnutrition
(4) alcohol abuse
Diagnosis:
(1) vomiting associated with cannabis use
(2) hypophosphatemia
(3) exclusion of other explanations for the hypophosphatemia
(4) reversal on discontinuation of cannabis use
