TvDx
Chicago Med

Chicago MedNBC

Season 5, Episode 13

14 medical diagnoses portrayed

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Also known as: Broken jaw on both sides

Six-year-old Dylan sustained bilateral mandible fractures from being punched repeatedly by his older brother Jamie during a violent outburst. Required surgery to wire his jaw shut.

Chicago Med — S05E13Patient: Dylan Shaw

Also known as: Broken hand bones

Eleven-year-old Jamie broke both fifth metacarpals (hand bones) from repeatedly punching his younger brother during a violent episode.

Chicago Med — S05E13Patient: Jamie Shaw

Also known as: Anger control issues

Violence toward siblingsNeed for residential psychiatric care

Jamie has severe impulse control and mood regulation disorders including intermittent explosive disorder with comorbid ADHD. His violent outbursts led to his father choking him unconscious to stop him from beating his brother. The episode culminates in a psychiatric lockout where parents surrender custody so the state will pay for residential psychiatric treatment at Meyerbrook.

Chicago Med — S05E13Patient: Jamie Shaw

Also known as: ADHD

Jamie has ADHD comorbid with his intermittent explosive disorder, contributing to his difficulty with impulse control and behavior regulation.

Chicago Med — S05E13Patient: Jamie Shaw

One of multiple psychiatric diagnoses contributing to Jamie's severe behavioral issues and violent outbursts.

Chicago Med — S05E13Patient: Jamie Shaw

Also known as: Crohn's disease

Enterocutaneous fistula

Six-month-old Axel is diagnosed with Crohn's disease, a rare inflammatory bowel condition in infants. His mother brought him in for persistent crying that other doctors dismissed as colic. Testing revealed bowel distention and ultimately Crohn's.

Chicago Med — S05E13Patient: Axel (infant)

Also known as: Crohn's disease

Enterocutaneous fistula

Julia is diagnosed with Crohn's disease when Dr. Manning discovers a fistula on her abdomen. Despite having severe Crohn's, Julia feels no pain due to a rare genetic condition.

Chicago Med — S05E13Patient: Julia (Axel's mother)

Also known as: Pain insensitivity

Inability to detect injuryRisk of unintentional harm to self or child

Julia has a rare microdeletion in the FAAHP1 pseudogene causing complete insensitivity to physical pain and emotional distress. This explains why she never felt pain from her Crohn's fistula and why she appears unnaturally calm about her son's illness. She also felt no pain during childbirth.

Also known as: Intestinal fistula

Julia has a fistula (tunnel) between her small bowel and skin, leaking green intestinal fluid. This is a complication of her severe undiagnosed Crohn's disease.

Uterine fibroidsupporting

Also known as: Uterine fibroid

ConstipationPressure on rectum

Chloe has a uterine fibroid causing constipation and abdominal discomfort. She opts for surgical myomectomy to remove it rather than hormone therapy, as she and her husband want to conceive soon.

Chicago Med — S05E13Patient: Chloe James

Also known as: Shock from blood loss

Death

Twenty-year-old Lucy suffered massive trauma from a single vehicle accident with bilateral femur fractures and internal bleeding. Despite multiple transfusions and surgical intervention, she died from hemorrhagic shock caused by a bullet that struck her from above while driving, severing her external iliac artery.

Chicago Med — S05E13Patient: Lucy Seaver

Also known as: Broken thighbones

Lucy sustained bilateral femur fractures in her motor vehicle accident, requiring traction splints in the field.

Chicago Med — S05E13Patient: Lucy Seaver

Also known as: Stab wound

External iliac artery injuryHemorrhagic shockDeath

The true cause of Lucy's death was a bullet that struck her from above while driving, penetrating her pelvis and severing her external iliac artery. The bullet was fired into the air somewhere in the city and came down on her car, causing fatal internal bleeding that couldn't be controlled despite surgery.

Chicago Med — S05E13Patient: Lucy Seaver

Also known as: Heroin addiction

Risk to patient safety during surgery

Dr. Halstead confronts Dr. Asher about performing surgery while potentially using heroin. She claims to be sober after her recent overdose, but Halstead threatens to report her to the Chief Medical Officer. She counters by threatening to expose his involvement in an illegal injection site.

Chicago Med — S05E13Patient: Dr. Hannah Asher
Recurring storyline