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Chicago Med

Chicago MedNBC

Season 7, Episode 4

6 medical diagnoses portrayed

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Also known as: Manic depression

Misdiagnosis as schizophreniaMedication overtreatmentPsychotic episode

Roland, a 22-year-old man, was misdiagnosed with schizophrenia three months prior and overmedicated with fluphenazine. After a psychotic episode on a bus, Dr. Charles correctly diagnoses him with bipolar disorder and addresses the systemic issue of African American males being misdiagnosed with schizophrenia.

Chicago Med — S07E04Patient: Roland
Spinal cord ischemiaLower extremity paralysis

Mr. Kumar presents with fatigue, back pain, and difficulty swallowing. Initially misdiagnosed as a thoracoabdominal aortic aneurysm and incorrectly treated with a stent, Dr. Marcel correctly identifies an aortic tumor occluding perforating vessels to the spine, causing numbness and risk of paralysis.

Chicago Med — S07E04Patient: Mr. Kumar

Also known as: Brain tumor

Multiple recurrencesSeizuresIatrogenic complications from unnecessary treatment

Ashley, a 48-year-old woman, was misdiagnosed in 1991 with anaplastic astrocytoma (malignant) and has lived 30 years believing she had terminal cancer. After presenting with a seizure and new brain lesion, tissue analysis reveals her original tumor was actually pilocytic astrocytoma, a benign condition.

Chicago Med — S07E04Patient: Ashley Bardsley

Also known as: Esophageal tear

Pneumoperitoneum

Pete, a college student, presents with severe abdominal pain and vomiting. Investigation reveals a tear at the gastroesophageal junction caused by swallowing ice cubes as part of his hangover remedy, resulting in free air in the abdomen requiring surgical repair.

Chicago Med — S07E04Patient: Pete Channing

Also known as: Wrist fracture

Ashley sustains a distal radius fracture of her left arm when she falls during a seizure at a coffee shop, requiring orthopedic casting.

Chicago Med — S07E04Patient: Ashley Bardsley

Also known as: Seizure

Fall with injury

Ashley experiences a tonic-clonic seizure while standing in line at Starbucks, leading to her fall and subsequent discovery of new brain lesions on imaging.

Chicago Med — S07E04Patient: Ashley Bardsley