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Introduction. We used the National Trauma Data Bank (NTDB) to examine the incidence of blunt thoracic and carotid trauma nationally and survival outcomes based on treatment approach. Methods. All vascular traumas were identified from the 2008 NTDB. International Classification of Diseases, 9th Revision (ICD-9) diagnosis coding was used to identify 178 blunt thoracic aortic injuries and 313 traumatic blunt carotid injuries. Results. In all, 2089 vascular traumas were identified. Patients with blunt thoracic trauma within the highest injury severity score (ISS) range (61-75) had a significant survival advantage when observation was compared with endovascular management (P < .05). In the carotid trauma cohort, those with the highest ISS range (61-75) had a significant survival advantage with open surgery compared with observation (P < .01). Conclusion. Patients with traumatic blunt thoracic injury and an ISS > 61 appeared to benefit from endovascular approaches compared with open management. Patients with blunt carotid trauma and an ISS > 61 appeared to benefit from open surgical management. [ABSTRACT FROM PUBLISHER]

INTRODUCTION Thorough physical exam and a systematic approach to patients who present with non-speciic symptoms of IM-Like syndrome are imperative to appropriate therapy. We discuss a case of a 25-year-old Caucasian male who presented with a fever of 38C (100.4F), pharyngeal redness, and lymphadenopathy and was admitted to the medicine service with a diagnosis of EBV. This case report details the diagnosis, management and treatment of a patient with IM-LIKE disease and discusses the current literature around the topic. [ABSTRACT FROM AUTHOR]