TvDx
Chicago Med

Chicago MedNBC

Season 8, Episode 18

8 medical diagnoses portrayed

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Also known as: Kidney failure

Requiring dialysisNeed for kidney transplant

Dr. Archer is in end-stage renal disease requiring regular dialysis and is being evaluated for the transplant list. His condition drives personal conflict about whether to accept a potential kidney donation from his son.

Chicago Med — S08E18Patient: Dean Archer
Recurring storyline

Also known as: Broken back

Risk of paralysisChronic back painWeakness in legs

Kurt sustained an unstable burst fracture at T-12 after falling down stairs. He requires surgery to prevent actual paralysis, but refuses treatment due to his underlying psychiatric condition (BIID).

Chicago Med — S08E18Patient: Kurt Leger

Also known as: BIID

Risk of self-harmRefusal of medically necessary treatment

Kurt has BIID manifesting as a strong desire to be paralyzed. He pretends to be paralyzed by using a wheelchair and refuses surgery that would prevent actual paralysis, creating ethical dilemmas about decisional capacity and informed refusal.

Chicago Med — S08E18Patient: Kurt Leger

Also known as: Pregnancy-related heart failure

Cardiac arrest during cesarean sectionMaternal death

Sarah is diagnosed with peripartum cardiomyopathy, a rare form of heart disease occurring at the end of pregnancy. She initially refuses admission, goes into labor, and dies from cardiac arrest during cesarean delivery despite medical intervention.

Chicago Med — S08E18Patient: Sarah Palmer
Schizophreniasupporting

Also known as: Schizoaffective disorder

Acute psychotic episodeNon-compliance with medications

Baylin, a frequent patient with schizophrenia, presents with acute psychosis after stopping his medications. He becomes agitated by the new red warning lights in the ED, believing they are CIA signals, triggering a discussion about the hospital's technology upgrades.

Chicago Med — S08E18Patient: Baylin

Also known as: PTSD

Baylin has complex PTSD in addition to his schizophrenia, contributing to his paranoid delusions about being followed by the CIA.

Chicago Med — S08E18Patient: Baylin
Migrainesupporting

Also known as: Migraine headache

Alicia presents with frequent, prolonged headaches. The new AI diagnostic tool suggests rare giant cell arteritis, but Dr. Halstead suspects migraines or cluster headaches. Patient insists on temporal artery biopsy which reveals anaphylaxis to cefazolin during the procedure.

Chicago Med — S08E18Patient: Alicia
Anaphylaxissupporting

Also known as: Severe allergic reaction

Airway compromiseRespiratory distress

During temporal artery biopsy, Alicia develops anaphylaxis to cefazolin antibiotic, causing throat swelling and respiratory distress requiring emergency epinephrine.

Chicago Med — S08E18Patient: Alicia