TvDx
Chicago Med

Chicago MedNBC

Season 4, Episode 15

14 medical diagnoses portrayed

Watch on Amazon
Lymphomasupporting

Also known as: Cancer of the lymphatic system

Treatment failure with previous chemotherapy regimen

Caroline's lymphoma has recurred and her previous chemotherapy regimen is no longer working. She is being screened for clinical trials at Gaffney, though she does not qualify for her preferred study and must enter a phase one experimental trial instead.

Chicago Med — S04E15Patient: Caroline (Dr. Charles' ex-wife, Robin's mother)
Recurring storyline

Also known as: Heart failure

Pleural effusionRefractory to diuretic therapyEjection fraction 12%

Francis presents with shortness of breath and pleural effusion due to end-stage biventricular heart failure. His ejection fraction is critically low at 12%, medications are failing, and he urgently needs a heart transplant. He is upgraded to status 1A on the transplant list, making him a potential recipient for Jada's heart.

Chicago Med — S04E15Patient: Francis Buckley

Also known as: Head trauma

Brain death

Jada was struck directly by the terrorist's truck at the street fair and thrown. She arrives with GCS 3 and cannot be intubated in the field. CT reveals diffuse blood throughout the brain. She is declared brain dead and becomes a potential organ donor, with her heart specifically needed for Francis Buckley's transplant.

Chicago Med — S04E15Patient: Jada Harris

Also known as: Shock from blood loss

HemoperitoneumMassive transfusion protocol activated

Jada's ultrasound shows her abdomen is full of blood. She requires emergency surgery where Dr. Rhodes removes her left kidney, spleen, and portion of small intestine. She needs 15 units of blood and 15 units of plasma due to massive hemorrhage from blunt force trauma.

Chicago Med — S04E15Patient: Jada Harris

Also known as: Chest injury

Off-duty police officer who pushed his son out of the truck's path and took the hit himself. He suffers severe blunt force chest trauma requiring emergency surgery. Despite treatment, he does not survive.

Chicago Med — S04E15Patient: Amari Moore

Also known as: Compound leg fracture

Loss of distal pulse requiring emergency reduction

Street fair victim with open fracture of tibia and fibula with no pulse in the foot. Dr. Halstead performs immediate reduction at the scene to restore circulation.

Pneumothoraxsupporting

Also known as: Collapsed lung

Tension physiology

Street fair victim with sucking chest wound causing pneumothorax. Treated in makeshift triage center with improvised chest seal using plastic wrap and duct tape to create a one-way valve.

Hemothoraxsupporting

Also known as: Blood in chest cavity

Jada Harris presents with left-sided hemothorax visible on x-ray (whited out left side). Dr. Rhodes places a chest tube before proceeding to surgery.

Also known as: Terminal cancer

Terminal illnessSeizure disorder secondary to brain metastases

The truck driver who caused the mass casualty incident has terminal metastatic cancer. He was taking multiple pain medications and anti-epileptic drugs (phenytoin), suggesting he likely had a seizure while driving. However, it is revealed he deliberately drove into the crowd as an act of racially motivated terrorism.

Chicago Med — S04E15Patient: Kenneth Baker

Also known as: Seizure

Loss of consciousness while driving

The driver was on phenytoin (anti-epileptic medication), initially suggesting he had a seizure while driving that caused the crash. This is later revealed to be coincidental to his deliberate act of terrorism.

Chicago Med — S04E15Patient: Kenneth Baker

Also known as: Head trauma

Seizure disorderLoss of consciousnessRespiratory arrest

Street fair victim who helped a fallen woman but was trampled. She has head trauma with blurred vision. Initially held back from ambulance transport due to lack of insurance and normal neurological exam, but later develops seizure and requires emergency airway management.

Nephrolithiasissupporting

Also known as: Kidney stones

Bladder clot formationUreteral dilation

Young patient presents with severe right flank pain, cloudy malodorous urine, and low-grade fever. Initially suspected pyelonephritis, but CT reveals multiple kidney stones in the bladder causing significant clot formation and mild ureteral dilation. Treated with ketorolac and three-way Foley catheter for irrigation.

Chicago Med — S04E15Patient: Sebastian Lopez

Also known as: Stitches popped open

HemorrhageHypovolemia

Maggie's surgical incision from recent surgery opens up while she is working the mass casualty incident. She works all day despite being in pain and loses significant blood, also becoming dehydrated, before collapsing and requiring emergency transport.

Chicago Med — S04E15Patient: Maggie Lockwood
Recurring storyline

Also known as: Shrapnel in eye

Street fair victim with shrapnel in eye that Dr. Halstead irrigates at the makeshift triage center using limited supplies.