TvDx
ER

ERNBC

Season 2, Episode 18

9 medical diagnoses portrayed

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Also known as: Neck injury

Doug Ross sustains a whiplash injury from a car accident with a taxi driver, requiring a cervical collar and x-rays showing reversal of cervical lordosis suggesting acute ligamentous injury.

ER — S02E18Patient: Doug Ross

Also known as: Antifreeze poisoning

Potential brain damageRenal failure

15-year-old patient presents with altered mental status after drinking antifreeze. Initially appears intoxicated but toxicology reveals ethylene glycol poisoning requiring urgent treatment with ethanol loading due to pharmacy shortage, followed by renal consultation.

ER — S02E18Patient: Omar Gandera

Also known as: Mini-stroke

Risk of impending stroke

Patient experiencing recurrent TIAs with right arm weakness and speech difficulties. Her HMO physician initially refuses admission despite multiple episodes, creating conflict over appropriate care standards.

ER — S02E18Patient: Mrs. Votey

Also known as: GSW

Vascular injuryFemoral artery damage

18-month-old child with two gunshots to right upper leg, presenting hypotensive with cold right foot and no pulse indicating femoral artery injury requiring emergency surgery.

Also known as: Antabuse reaction

Patient presents with severe reaction mimicking myocardial infarction after his wife secretly gives him Antabuse while he continues drinking. Life-threatening interaction requires intensive management.

ER — S02E18Patient: Louis Etheridge

Also known as: Major injuries from car accident

Rib fracturesHemopneumothoraxFlail chestFemur fracture

Motor vehicle accident victim with multiple injuries including bilateral hemopneumothoraces, probable flail chest, fractured left femur, and rigid abdomen. Requires chest tube placement and intensive resuscitation.

ER — S02E18Patient: Leita

Also known as: Blood around the heart

Cardiac arrestCardiac laceration from rib fracture

Trauma patient with ankle fracture develops cardiac tamponade during reduction attempt when a rib punctures the heart, requiring emergency thoracotomy and innovative Foley catheter balloon technique to control bleeding.

Also known as: DKA

Patient in coma found to have DKA requiring insulin drip and metabolic management.

Also known as: Intimate partner violence

Physical abuseFacial injuries

Patient and her son are victims of domestic violence from alcoholic husband. Dr. Greene identifies the abuse pattern and is legally obligated to report to police.

ER — S02E18Patient: Mrs. Etheridge