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Chicago Med

Chicago MedNBC

Season 8, Episode 21

10 medical diagnoses portrayed

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Also known as: Kidney failure

Dean Archer's ongoing kidney disease is addressed when Mark reveals that Sean is a donor match, with surgery potentially scheduled for next month. This represents a significant development in Archer's recurring health arc.

Chicago Med — S08E21Patient: Dean Archer
Recurring storyline

Also known as: UTI

Michelle initially presents believing she has a UTI based on symptoms of abdominal pain, pelvic pressure, and frequent urination, but testing reveals she is actually pregnant.

Chicago Med — S08E21Patient: Michelle Abrams

Also known as: Unplanned pregnancy

Cervical insufficiency

Michelle is unexpectedly found to be pregnant seven years after her husband's vasectomy, likely due to recanalization. The pregnancy becomes complicated when cervical insufficiency is discovered during pelvic exam.

Chicago Med — S08E21Patient: Michelle Abrams

Also known as: Incompetent cervix

During pelvic exam, Michelle's cervix is found to be opening prematurely, requiring emergency cerclage procedure. The condition progresses during surgery with amniotic sac membranes protruding through the cervix, requiring a more complex balloon procedure.

Chicago Med — S08E21Patient: Michelle Abrams

Also known as: Schizoaffective disorder

David returns to the ED reporting hearing voices again, which are making him afraid to attend prom and college. Dr. Charles determines these are not true psychotic auditory hallucinations but rather anxiety-driven intrusive thoughts, and helps David practice coping strategies.

Chicago Med — S08E21Patient: David Sullivan
Recurring storyline
Foot lacerationsupporting

Also known as: Foot wound

Penny presents with a foot laceration requiring bandaging and ointment. She is an undocumented immigrant who is coached to claim chest pain to bypass new insurance verification policies.

Ventral herniasupporting

Also known as: Abdominal hernia

Jack reveals he needs a redo ventral hernia repair surgery, which he plans to have performed live on OR 2.0 during the IPO launch as a publicity demonstration.

Chicago Med — S08E21Patient: Jack Dayton

Also known as: Liver metastases

Hepatic vein thrombosisStroke

Richard Evans (from previous episode) had pancreatic cancer with metastases to his liver. Investigation of his death reveals OR 2.0 created a phantom lesion near the hepatic vein, directing Crockett to ablate it and causing fatal complications.

Chicago Med — S08E21Patient: Richard Evans
Strokemajor

Also known as: Brain attack

Richard Evans died from a stroke caused by a clot that originated in his liver during OR 2.0 surgery. The clot traveled through a ventricular septal defect to his brain. Investigation reveals the clot formed when 2.0 directed ablation of a phantom lesion near the hepatic vein.

Chicago Med — S08E21Patient: Richard Evans

Also known as: Hole in the heart

Richard Evans had an undiagnosed ventricular septal defect that allowed a clot from his liver to travel to his brain, bypassing normal pulmonary filtration and causing his fatal stroke.

Chicago Med — S08E21Patient: Richard Evans