TvDx
Chicago Med

Chicago MedNBC

Season 7, Episode 21

7 medical diagnoses portrayed

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Also known as: Blood in chest cavity

Pseudoaneurysm of pulmonary arteryHemorrhage requiring embolization

Police officer shot during drug raid develops hemothorax from bullet wound, complicated by previously undiagnosed retained bullet causing pulmonary artery pseudoaneurysm that requires embolization and ultimately thoracotomy.

Chicago Med — S07E21Patient: Sam Devers

Also known as: False aneurysm

HemorrhageDisseminated intravascular coagulation risk

Old retained bullet from previous gunshot wound eroded into pulmonary artery branch, creating pseudoaneurysm that became emergent when lung collapsed and reinflated, requiring intervention to prevent fatal hemorrhage.

Chicago Med — S07E21Patient: Sam Devers

Also known as: Fatty liver disease

Liver ruptureDisseminated intravascular coagulationHemorrhageNeed for liver transplant

26-week pregnant woman presents with nausea, swelling, elevated blood pressure initially concerning for pre-eclampsia but diagnosed as AFLP, requiring emergency C-section that is complicated by liver rupture and need for living donor liver transplant from her mother.

Also known as: ALS, Lou Gehrig's disease

Pseudobulbar affectSpeech difficultiesProgressive neurological decline

Motivational speaker with long history of doctor shopping for vague symptoms is finally diagnosed with rare Bulbar ALS after presentation with choking sensation, emotional lability (pseudobulbar affect), and altered speech patterns that had been previously missed by multiple specialists.

Chicago Med — S07E21Patient: Lydia Reed

Also known as: Spinal cord compression from cervical spine degeneration

Hand tremorFine motor impairmentSpinal cord compression

Dr. Blake's hand tremor is revealed to be caused by progressive cervical spondylotic myelopathy requiring surgical intervention, which she initially resists due to concerns about leaving patients but ultimately schedules after realizing she cannot safely operate.

Chicago Med — S07E21Patient: Pamela Blake
Recurring storyline

Also known as: DIC

Uncontrolled bleedingMulti-organ hemorrhage

Develops during C-section for AFLP with liver rupture, causing inability to clot and contributing to life-threatening hemorrhage requiring massive transfusion and emergency liver transplant.

Also known as: Emotional incontinence

Presenting symptom of Bulbar ALS manifesting as sudden, unwarranted emotional outbursts that feel overwhelming to patient, initially mistaken for psychiatric condition but recognized as neurological symptom.

Chicago Med — S07E21Patient: Lydia Reed