TvDx
Chicago Med

Chicago MedNBC

Season 4, Episode 10

14 medical diagnoses portrayed

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Also known as: Broken arm

Axillary artery pseudoaneurysm

The shooter Dennis Mitchell sustains a humerus fracture in a motor vehicle collision after the shooting. The fracture damages his axillary artery, creating a life-threatening pseudoaneurysm that requires emergency vascular surgery.

Chicago Med — S04E10Patient: Dennis Mitchell
Pseudoaneurysmsupporting

Also known as: False aneurysm

Dennis Mitchell develops a pseudoaneurysm of the axillary artery as a complication of his humerus fracture and displaced pectoral implant. The condition requires urgent vascular stenting to prevent fatal hemorrhage.

Chicago Med — S04E10Patient: Dennis Mitchell

Also known as: Psychotic break

Dennis Mitchell presents with violent, delusional behavior and misogynistic ideation after shooting at women. He identifies as an 'incel' and has posted threats online. Dr. Charles evaluates his mental state to determine if he feels remorse and his fitness for legal proceedings.

Chicago Med — S04E10Patient: Dennis Mitchell

Also known as: Early labor

Cerebral aneurysm ruptureMaternal death

Ivy Davis, 30 weeks pregnant with a known cerebral aneurysm, goes into pre-term labor. Despite attempts to stop contractions with medications, her aneurysm ruptures during labor, killing her. An emergency perimortem cesarean section is performed to save the baby.

Chicago Med — S04E10Patient: Ivy Davis

Also known as: Brain aneurysm

RuptureMaternal death

Ivy Davis has a pre-existing small cerebral aneurysm that was being monitored until a scheduled C-section at term. When she goes into unexpected pre-term labor and begins pushing, the aneurysm ruptures, causing immediate death.

Chicago Med — S04E10Patient: Ivy Davis
Hypoxemia

Baby Sophie, delivered via emergency perimortem cesarean section at 30 weeks, is found to have tricuspid atresia (missing tricuspid valve) and an atrial septal defect. She requires urgent pulmonary artery banding surgery and will need definitive repair when she's larger.

Chicago Med — S04E10Patient: Sophie Davis

Also known as: ASD, hole in the heart

Baby Sophie has an atrial septal defect in addition to her tricuspid atresia, contributing to her complex congenital heart disease that requires surgical intervention.

Chicago Med — S04E10Patient: Sophie Davis
Prematuritysupporting

Also known as: Premature birth

Respiratory distressCyanosis

Sophie is born at 30 weeks gestation via emergency perimortem cesarean section. Her prematurity contributes to initial difficulty oxygenating and requires NICU care.

Chicago Med — S04E10Patient: Sophie Davis

Also known as: Rebar impalement

Tension pneumothoraxLeft ventricular laceration

Davey, a young boy, accidentally shoots himself in the chest with a nail gun. The nail strikes a rib initially appearing minor, but during surgery he develops a tension pneumothorax and the chest tube placement lacerates his left ventricle, requiring emergency open heart surgery.

Chicago Med — S04E10Patient: Davey Bennett

Also known as: Collapsed lung

Hemodynamic instability

During surgery to remove the nail from Davey's chest, the nail had poked a small hole in his lung, and positive pressure ventilation causes air to accumulate in the chest cavity, creating a life-threatening tension pneumothorax requiring immediate decompression.

Chicago Med — S04E10Patient: Davey Bennett

Also known as: Heart tear

Hemorrhage

During emergency chest tube placement for tension pneumothorax, the tube is accidentally pushed in too far and lacerates Davey's left ventricle, requiring emergency open thoracotomy and direct cardiac repair.

Chicago Med — S04E10Patient: Davey Bennett
Gunshot woundsupporting

Also known as: GSW

April sustains a minor gunshot wound during an active shooter incident at the hospital entrance. The wound is superficial, requiring no sutures, and she returns to work despite the psychological trauma.

Chicago Med — S04E10Patient: April Sexton

Also known as: Depression

Student Doctor Curry shows signs of depression including insomnia, social isolation, intense self-blame, and emotional dysregulation. Dr. Charles becomes concerned about her mental health and screens her for suicidal ideation during their interaction about the shooter case.

Chicago Med — S04E10Patient: Elsa Curry

Also known as: PTSD

Will returns from witness protection showing signs of trauma including hypervigilance (jumpy when touched), bringing a gun for protection, and difficulty with reintegration. Agent Lee warns Natalie about a potential adjustment period after his traumatic experience.

Chicago Med — S04E10Patient: Will Halstead
Recurring storyline