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Chicago Med

Chicago MedNBC

Season 8, Episode 20

10 medical diagnoses portrayed

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Also known as: Perforated stomach ulcer

PerforationPeritonitis

Tim presents with severe abdominal pain and is found to have a perforated ulcer in the duodenum caused by H. pylori bacteria, requiring emergency surgery to repair the perforation.

Also known as: Tapeworm

During surgery for Tim's perforated ulcer, a 6-foot-4-inch tapeworm is discovered in his intestine, likely contracted from street food during a trip to Thailand nine months earlier.

Also known as: Unknown pregnancy

Pam, who has polycystic ovarian syndrome and was believed to be infertile, goes into sudden labor in the hospital and delivers a full-term baby boy without having known she was pregnant.

Also known as: Pancreatic cancer spread to liver

Hepatic metastasesDeath

Richard, who had previously been successfully treated for pancreatic cancer using OR 2.0, presents with cancer recurrence showing multiple liver metastases. He undergoes radiofrequency ablation but suffers a catastrophic complication and dies.

Chicago Med — S08E20Patient: Richard Evans
Recurring storyline
Strokemajor

Also known as: Brain attack

Brain death

Richard suffers a stroke during or immediately after his cancer surgery, resulting in fixed and dilated pupils, no reflexes, and ultimately brain death requiring withdrawal of life support.

Chicago Med — S08E20Patient: Richard Evans

Also known as: Bile duct blockage

Jan presents with visible jaundice after a minor car accident. The medical team suspects pancreatic cancer given her sister's history with the disease, but Jan refuses all diagnostic testing due to severe medical paranoia and conspiracy beliefs.

Chicago Med — S08E20Patient: Jan/Jacqueline Warner

Also known as: Paranoid delusions

Jan demonstrates severe paranoia and delusional beliefs about hospitals and medical care, believing doctors are conspiring with pharmaceutical companies to harm patients. Her beliefs stem from trauma related to her sister's cancer diagnosis and death.

Chicago Med — S08E20Patient: Jan/Jacqueline Warner

Also known as: Deep cut

Jan sustains a deep laceration to her left palm during a car accident that requires suturing, serving as the initial medical complaint that brings her to the ED.

Chicago Med — S08E20Patient: Jan/Jacqueline Warner

Also known as: PCOS

Infertility

Pam has a history of PCOS causing irregular menstruation and presumed infertility, which explains why she was unaware of her pregnancy until going into labor.

Ankle sprainsupporting

Also known as: Sprained ankle

Richard presents with an ankle injury from tripping on stairs, which serves as the presenting complaint that leads to discovery of his cancer recurrence.

Chicago Med — S08E20Patient: Richard Evans