Alcohol withdrawal syndrome in admitted trauma patients.

Background: As alcohol use is highly prevalent in trauma patients, we hypothesized that a significant proportion of hospitalized trauma patients would demonstrate alcohol withdrawal (AW).

Methods: The trauma registries at a joint trauma center system from 1999 to 2008 were evaluated for patients aged at least 16 years.

Results: Of 19,369 trauma admissions, 159 patients had AW.

Ectopic bone in the abdominal cavity: a surgical nightmare.

Introduction: Heterotopic mesenteric ossification (HMO) is a rare clinical entity with less than 40 reported cases in the literature. Frequently associated with prior abdominal surgery or trauma, the precise etiology and optimal approach to its management remain undefined.

Case Report: The index patient is a 58-year-old male who originally presented with perforated diverticulitis.

Novel use of Lodox Statscan in a level one trauma center.

Trauma continues to be a large source of poor outcomes for patients in the United States. While clinical guise is very important in the acute setting, objective physical data is becoming increasingly important in the diagnosis of many injuries sustained during trauma. Radiography has always been the primary diagnostic modality applied in trauma situations but it continues to be a time-consuming and unwieldy part of the acute resuscitation of the patient.

Effect of medical and surgical weight loss on endothelial vasomotor function in obese patients.

We prospectively examined brachial artery endothelial function using vascular ultrasound in 41 obese subjects treated with medical or surgical (gastric bypass) weight loss interventions. Surgical intervention produced greater weight loss and more pronounced improvement in endothelial function than medical treatment alone. Improved endothelial function with weight loss correlated strongly with fasting glucose but not with alteration in blood pressure, lipids, degree of weight loss, or plasma resistin concentrations.