Chicago Med — NBC

Season 5, Episode 12

9 medical diagnoses portrayed

Also known as: Kidney injury from bus accident

Hemorrhagic shockNephrectomyRenal injury

Kate is impaled by rebar through the abdomen in a school bus crash, suffering severe kidney damage with bleeding into the belly. Dr. Marcel performs emergency surgery and removes the damaged kidney.

Chicago Med — S05E12Patient: Kate Lawson

Penetrating neck traumamajor

Also known as: Neck injury from rebar

Airway compression from hematomaActive hemorrhageCarotid artery involvementJugular vein injury

Henry is impaled through the neck by rebar in the bus crash, injuring his jugular vein and later developing an expanding hematoma that compresses his airway. Dr. Marcel performs carotid artery reconstruction surgery.

Chicago Med — S05E12Patient: Henry Chase

Endocarditismajor

Also known as: Heart valve infection

Aortic regurgitationAtrial fibrillationHemodynamic instabilityExtension into cardiac electrical systemAortic valve destruction

Mike, a heroin addict treated at the safe injection site, has recurrent endocarditis that has destroyed two heart valves. He develops severe aortic regurgitation and atrial fibrillation, requiring emergency cardioversion and valve replacement surgery after psychiatric evaluation.

Chicago Med — S05E12Patient: Mike Monroe

E-cigarette or vaping product use-associated lung injurymajor

Also known as: EVALI

Acute respiratory failureRequirement for mechanical ventilation

Alice, a 12-year-old from the bus crash with rib fractures, develops progressive respiratory failure from pre-existing EVALI (vaping-related lung injury) that was exacerbated by the accident. She requires intubation with uncertain prognosis.

Chicago Med — S05E12Patient: Alice Winston

Acute myeloid leukemiasupporting

Also known as: Blood cancer

Severe anemiaCardiac dysrhythmiasCardiac arrestDeath

Gary is a leukemia patient scheduled for bone marrow transplant whose donor becomes unavailable due to fever. His anemia causes dangerous heart rhythms, and he dies from cardiac arrest while Maggie desperately searches for an alternative donor.

Chicago Med — S05E12Patient: Gary

Breast cancersupporting

Also known as: Breast cancer

Inadequate response to radiation therapy

Maggie learns her breast cancer is not responding adequately to radiation therapy and will require additional hormone therapy. This ongoing battle affects her emotionally throughout the episode.

Chicago Med — S05E12Patient: Maggie Lockwood

Recurring storyline

Rib fracturesupporting

Also known as: Broken rib

Alice initially presents with rib fractures from the bus crash, which are diagnosed on X-ray and managed with pain medication before her respiratory condition worsens.

Chicago Med — S05E12Patient: Alice Winston

Opioid overdosesupporting

Also known as: Narcotic overdose

Val overdoses at the safe injection site and is successfully resuscitated with Narcan by Dr. Halstead and Dr. Choi.

Chicago Med — S05E12Patient: Val

Heroin use disordermajor

Also known as: Heroin addiction

Recurrent endocarditisDepression

Mike's active heroin addiction has caused recurrent endocarditis and valve destruction. Dr. Halstead advocates for treating underlying depression to help him achieve sobriety, though Mike's girlfriend attempts to bring him drugs even in the hospital.

Chicago Med — S05E12Patient: Mike Monroe