Diagnosis Ramon has comminuted fractures in both the left femur and right tibia. He is also severely anemic due to blood loss from lacerations he received when hit by the car. Considering the type of trauma he received, there is a possibility of damage to internal organs, internal bleeding, and pneumothorax. Prognosis Comminuted fractures present a more complicated surgical process, due to numerous bone fragments produced with the fracture. With extensive surgical fixation of both fractures and prolonged physical therapy and recovery time, the prognosis would be good. The anemia is treatable with blood transfusions and cessation of bleeding. This would normalize his blood volume, and prognosis would be good. If thoracic and abdominal radiographs are free of further injuries, prognosis is good; however, depending on the degree of injuries to vital organs, prognosis could range from good to grave.