TvDx
Chicago Med

Chicago MedNBC

Season 11, Episode 10

10 medical diagnoses portrayed

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Also known as: Butt plug stuck in rectum

Patient presents with a sexual device lodged in his rectum after falling off the bed during intercourse. Requires removal by Dr. Archer.

Chicago Med — S11E10Patient: Mr. Riley

Also known as: ACL tear

Opioid overdose

College basketball player tears her ACL during a game after a sudden stop and change in direction. She hears a pop and experiences pain and swelling. The injury threatens her basketball career and leads to the discovery of her ultra-rapid metabolizer status.

Chicago Med — S11E10Patient: Kristen Thompson

Also known as: Narcotic overdose

Respiratory depressionDecreased level of consciousness

Basketball player experiences life-threatening opioid overdose with pinpoint pupils, respiratory depression, and decreased consciousness after taking prescribed codeine cough syrup. Requires intubation and Narcan. The overdose is ultimately explained by her ultra-rapid metabolizer status.

Chicago Med — S11E10Patient: Kristen Thompson

Genetic condition discovered after her overdose, explaining why she metabolizes certain medications like codeine abnormally fast, leading to overdose, and why her antidepressants were ineffective. This is the key diagnostic revelation of her case.

Chicago Med — S11E10Patient: Kristen Thompson

Also known as: Broken hip

Avascular necrosis

88-year-old woman with dementia sustains a hip fracture after a ground-level fall. X-ray confirms the fracture, and CT reveals avascular necrosis requiring hip replacement surgery. The case becomes complicated by family dynamics and concerns of medical neglect.

Chicago Med — S11E10Patient: Ruth Williams

Also known as: Bone death

CT scan reveals that Ruth has avascular necrosis of the left hip, where blood supply to the bone has been disrupted causing it to disintegrate. This necessitates urgent hip replacement surgery to prevent her from becoming bedridden.

Chicago Med — S11E10Patient: Ruth Williams
Dementiasupporting

Also known as: Alzheimer's disease

Ruth has a documented history of dementia, which has paradoxically made her more pleasant in personality. This condition complicates her care decisions and is central to the family conflict regarding her medical treatment.

Chicago Med — S11E10Patient: Ruth Williams

Extremely rare case where Olivia became pregnant with her own biological baby approximately four weeks after being implanted with her friend's embryo as a surrogate, resulting in two fetuses of different gestational ages in the same pregnancy.

Chicago Med — S11E10Patient: Olivia

Also known as: Lung cyst

Fetal hydropsCardiac compressionFetal death

The female fetus (Olivia's biological baby) has a cyst on the lungs putting pressure on the heart, causing fluid buildup (hydrops) that is mirrored in Olivia's body as peripheral edema. Despite attempted in-utero surgical repair, the baby dies from excessive cardiac pressure.

Chicago Med — S11E10Patient: Olivia's biological fetus

Also known as: Swelling

Pregnant surrogate presents with bilateral pitting edema that is discovered to be a mirror syndrome, reflecting the fluid buildup (hydrops) in one of her fetuses due to its lung malformation.

Chicago Med — S11E10Patient: Olivia