A Case of Multiple Bone Fractures in right Upper Extremity with Multiple Comorbidities still have High S. Creatinine &. Urea Postdialysis: Can We Consider Surgery for his Fracture?

A 74 years old male presented to emergency department with multiple fractures in his right upper extremity from train accident along with multiple co-morbidities. Subsequent biochemical evaluation reveals that his hemoglobin level is low and S. creatinine, S. Urea is also high with metabolic acidosis. Initially patients fracture was managed with plastering it. Dialysis was planned but because of his higher than normal S. Creatinine, S. Urea, mild metabolic acidosis even after post dialysis, put the decision process in dilemma of if there are any benefit from this surgery and it will outweigh the risk!!

Case Note, Xray & Blood reports:

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