TvDx
ER

ERNBC

Season 2, Episode 8

10 medical diagnoses portrayed

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Bell's palsysupporting

Also known as: Facial nerve paralysis

A young boy presents with unilateral facial paralysis. Carter initially diagnoses Bell's palsy but later worries he may have missed vesicles indicating Ramsay Hunt syndrome, prompting a follow-up home visit to recheck the patient's ears.

ER — S02E08Patient: Wilbur (Ramiro)

Also known as: Tylenol poisoning

Liver failure

A teenage girl attempts suicide by swallowing two bottles of Tylenol (acetaminophen level 480). She requires gastric lavage and Mucomyst treatment. The overdose is revealed to be related to pregnancy from an incestuous relationship with her brother following their mother's death.

ER — S02E08Patient: Julia

Also known as: Severe asthma attack

A young boy has a severe asthma attack triggered by exposure to his grandmother's dog. He presents with respiratory distress, cyanosis, and low oxygen saturation (87%). Ross falsifies the chart to prevent premature HMO-mandated transfer.

ER — S02E08Patient: Alan
Aplastic anemiasupporting

Also known as: Bone marrow failure

An elderly nanny presents with fatigue and shortness of breath. Testing reveals severely low blood counts consistent with terminal aplastic anemia. She has had previous bone marrow biopsy and refuses further treatment or hospital admission.

ER — S02E08Patient: Mrs. Ransom

Also known as: APS

A patient with history of lupus and renal failure presents with chest pain. Carter orders extensive testing including antiphospholipid antibodies, which comes back positive, revealing a serious blood clotting disorder requiring heparin treatment.

ER — S02E08Patient: Mrs. Briggs

Also known as: Crushed toe

A Civil War re-enactor has his big toe crushed by a two-ton cannon, causing avulsion of skin and requiring bone rongeur. The patient refuses modern anesthesia, insisting on period-appropriate treatment.

ER — S02E08Patient: Mr. Richter (Major General Fitz-John Porter)

Also known as: Kidney injury from bus accident

Possible ruptured spleenPossible intra-abdominal hemorrhage

A motorcyclist involved in a high-speed collision presents with tire track marks across his abdomen, abdominal pain, and hypotension. Greene suspects intra-abdominal hemorrhage and possible ruptured spleen, leading to conflict with Ross over CT access.

ER — S02E08Patient: Tom Spagnoli

Also known as: Skull base fracture

A motorcyclist presents with closed head injury, decreased consciousness (GCS 7), and blood in the ear canal suggesting basilar skull fracture. Ross prioritizes this patient for CT scan over Greene's abdominal trauma case.

The teenage suicide attempt patient is revealed to be pregnant from a sexual relationship with her brother that developed after their mother's death. This pregnancy is the primary motivation for her suicide attempt.

ER — S02E08Patient: Julia
Lacerationsupporting

Also known as: Cut

A 25-year-old intoxicated patient walks through a plate glass window on his birthday, sustaining multiple lacerations requiring extensive suturing by Carter and Benton.