Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 4, 2014
   Pages 655 — 660

Abstract — Colitis after polytrauma: Case report

William E. Carter, MD, MPH;1–2* Isaac A. Darko, MD;3 Priya Chandan, MD, MPH;1–2 Ajit B. Pai, MD1

1Physical Medicine and Rehabilitation Service, Hunter Holmes McGuire VAMC, Richmond, VA; 2Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA; 3Rehabilitation Care Line, Cincinnati Department of Veterans Affairs Medical Center (VAMC), Cincinnati, OH

Abstract — Across the medical literature, delayed diagnosis and treatment leads to more costly and worse outcomes. Rehabilitation patients, especially those with polytrauma, often have a complex mixture of medical, social, and psychological health problems that can impair effective diagnosis and treatment. The case presentation describes the procession toward the diagnosis of ulcerative colitis in a preinjury asymptomatic male, suggesting a potential mechanism for its emergence and describing the effect of delayed diagnosis on the efficiency of rehabilitative care. As such, the differential diagnosis for early posttraumatic diarrhea should remain broad, particularly if unexplained or ineffectively controlled.

Key words: Active Duty, amputation, comorbidity, Department of Veterans Affairs, gastroenterology, polytrauma, rehabilitation, traumatic brain injury, veteran, ulcerative colitis.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.4

This article and any supplementary material should be cited as follows:
Carter WE, Darko IA, Chandan P, Pai AB. Colitis after polytrauma: Case report. J Rehabil Res Dev. 2014;51(4): 655–60.
http://dx.doi.org/10.1682/JRRD.2013.04.0100
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