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This case report discusses a servicemember with colitis post-polytrauma, highlighting the challenges of diagnosing and treating this condition promptly. The narrative emphasizes the importance of broad differential diagnosis for early posttraumatic diarrhea, especially among rehabilitation patients to prevent costly outcomes.
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Colitis after polytrauma William E. Carter, MD; Isaac A. Darko, MD; Priya Chandan, MD; Ajit B. Pai, MD
Aim • Case report describes servicemember whose greatest limitation to therapy participation was diarrhea. • Relevance • Delayed diagnosis and treatment lead to more costly and worse outcomes. • Rehabilitation patients, especially polytrauma, have complex mix of medical, social, and psychological problems that can impair effective diagnosis and treatment.
Method & Results • Described process of diagnosing ulcerative colitis in preinjury asymptomatic male. • Suggested potential mechanism for its emergence. • Described how delayed diagnosis affected rehabilitation efficiency.
Conclusion • Differential diagnosis for early posttraumatic diarrhea should remain broad, particularly if unexplained or ineffectively controlled.