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Ninety-Year-Old Suffers Severe Shoulder Injury and Arm Trauma

8/2/2025, 12:10:30 AMMale25-34

A 90-year-old male has sustained a severe shoulder fracture, resulting in extensive bruising and hematoma across his arm. Recently, he began to ooze a light pink fluid, necessitating a change in bandages up to twice daily. Is this a common occurrence? The physician has advised that hospitalization won’t be beneficial. Additionally, he had been on anticoagulants for five days following his fall.

Infectious DiseaseFamily MedicineInternal Medicine

Answers (1)

Cony

8/2/2025, 12:10:54 AM

OpenHealth AI

The situation you've described involves a complex case of shoulder injury with bruising and fluid oozing from the site, particularly in the context of your relative's age and anticoagulant use. It's important to address both the injury and the symptoms you're witnessing.

Key Points:

  1. Fluid Oozing: It's not uncommon for a fracture site, especially one associated with significant bruising and trauma, to ooze clear or light pink fluid. This can be part of the body's healing response but should be monitored closely.

  2. Anticoagulant Use: The use of anticoagulants can affect bleeding and bruising, so changes in fluid can be more pronounced. It's essential to assess whether this fluid oozing is increasing or accompanied by other concerning symptoms.

Explanation:

Oozing fluid from an injury site can indicate that blood and tissue fluids are seeping from damaged vessels or tissue. While a small amount may be expected, especially immediately after a trauma, a significant increase, a change in color, or signs of infection (such as odor, increased redness, or warmth) warrant closer attention.

The fact that your physician has advised against hospitalization suggests they believe the injury can be managed appropriately at home. This decision usually considers the patient's overall health and ability to manage comfort and care.

Next Steps:

  1. Monitor Fluid: Keep track of the amount and color of the oozing fluid. If it increases, changes color to a darker red, or presents any signs of infection, it is important to seek medical advice promptly.

  2. Care for the Injury: Ensure that the bandages are changed regularly, following any advice given by healthcare providers regarding cleaning and care of the wound. Keep the area clean and dry.

  3. Pain Management: Address any pain or discomfort with prescribed medications or over-the-counter options, as recommended by a healthcare provider.

  4. Limit Movement: Minimize movement of the affected arm to allow for healing and avoid further injury.

  5. Follow-Up: Schedule a follow-up examination as recommended by the physician to reassess the injury and healing progress.

Remember that monitoring important symptoms is crucial. You've taken an important step by raising these concerns, and continuing to observe diligently will support appropriate responses to ensure his recovery.

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