Also known as: Heart attack
Reggie, a homeless veteran, presents with chest pain and tachycardia that initially appears to be a heart attack but is ruled out as a panic attack. His cardiac workup is negative.
Also known as: Tissue death
Reggie has severe gangrene in his leg requiring surgical debridement by general surgery. He is started on vancomycin and metronidazole.
Also known as: Low platelet count
Reggie develops severe thrombocytopenia with platelets at 30,000, putting him at high risk for bleeding. He subsequently develops an upper GI bleed that proves fatal due to inability to clot during a citywide platelet shortage.
Also known as: GI bleed
Reggie develops a massive upper GI bleed that cannot be controlled due to his severe thrombocytopenia and platelet shortage. He dies despite resuscitation attempts.
Also known as: Panic attacks
Reggie experiences panic attacks with chest pain and elevated heart rate, related to his PTSD from military service in Afghanistan.
Also known as: PTSD
Reggie suffers from PTSD related to combat tours in Iraq and Afghanistan, including an IED blast that took his leg and killed three marines.
Celine, a pregnant surrogate, presents with asthma exacerbation due to uterine compression of her lungs. She is treated with nebulizer and IV methylprednisolone.
Also known as: Hiatal hernia
The male twin fetus has a severe congenital diaphragmatic hernia with abdominal organs migrating into the chest, causing increased amniotic fluid that threatens the female twin. The parents initially request selective reduction but Celine refuses and opts for experimental fetal tracheal occlusion surgery instead.
Also known as: Excess amniotic fluid
The male fetus develops elevated amniotic fluid secondary to his diaphragmatic hernia, which compresses and endangers the female twin's growth and lung development.
Also known as: Early-onset Alzheimer's
Fran is an 83-year-old woman with advanced Alzheimer's disease who wanders from home multiple times. She presents with agitation, weight loss, and symptoms initially thought to be thyroid medication overdose.
Also known as: Thyroid medication overdose
Fran presents with low TSH due to chronic overdose of thyroid medication accidentally administered by her daughter Alana, who has early-onset Alzheimer's and was forgetting she had already given the medication.
Also known as: A-fib
Fran develops atrial fibrillation with rapid ventricular response secondary to her thyroid medication overdose. She is treated with diltiazem and converts back to normal sinus rhythm.
Also known as: Early-onset Alzheimer's
Alana, Fran's daughter and caregiver, is diagnosed with early-onset Alzheimer's disease after MRI shows hippocampal atrophy. Her memory problems led her to accidentally overdose her mother on thyroid medication by forgetting she had already administered doses.
Also known as: Liver failure
Leslie has pre-existing liver failure requiring transplant. She is on the transplant list and presents after being struck by a car, which destroys the right lobe of her liver and makes transplant urgently needed within days.
Also known as: Liver injury
Leslie is struck by a car, resulting in destruction of the right lobe of her liver with significant intra-abdominal bleeding. Combined with her pre-existing liver disease, this makes urgent transplant necessary.
Also known as: Head laceration
Leslie sustains a head injury when struck by a car, with loss of consciousness and perseveration indicating concussion. She presents with decreased GCS and anterograde amnesia.
Also known as: PTSD
Will is experiencing PTSD symptoms following his kidnapping, including talking in his sleep, irritability, and difficulty processing trauma. He is mandated to attend counseling or take leave.