TvDx
ER

ERNBC

Season 2, Episode 22

9 medical diagnoses portrayed

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Also known as: Underdeveloped left heart

Congestive heart failureCyanosis

Two-day-old infant sent home after one night postpartum presents in heart failure and cyanotic. Diagnosis of hypoplastic left heart syndrome made, requiring emergency intervention to keep ductus arteriosus open with Prostin. Case highlights dangers of early postpartum discharge under managed care.

ER — S02E22Patient: Joseph Morgan Randall

Also known as: Bile duct infection

Liver failure

Young girl with worsening ascending cholangitis not responding to antibiotics, moved to Status 1 on transplant list due to impending liver failure. Carter spends significant time with her, missing his graduation to keep her company while awaiting transplant.

ER — S02E22Patient: Talia Lucas (T.C.)

Also known as: AIDS

Pneumocystis pneumonia

Al recently diagnosed with AIDS with CD4 count of 450, started on antiretroviral therapy (AZT, 3TC, saquinavir). Previously hospitalized for Pneumocystis pneumonia. Reveals diagnosis to Jeanie, who must now get tested herself.

ER — S02E22Patient: Al Boulet
Recurring storyline
Lung cancersupporting

Also known as: Lung cancer

46-year-old construction worker with persistent cough and hemoptysis found to have lung density concerning for cancer. Leaves against medical advice due to inability to afford testing and treatment, highlighting healthcare access issues.

ER — S02E22Patient: Kenny Brannigan

Also known as: PTSD

InsomniaWeight lossAggressive behavior

Shep demonstrates worsening PTSD symptoms following Raul's death, including insomnia, weight loss, and aggressive outbursts. Refuses to see psychiatrist despite Raquel's urging. Their relationship ends when he continues to refuse help.

ER — S02E22Patient: Shep
Recurring storyline

Also known as: Broken ankle

12-year-old girl with comminuted trimalleolar ankle fracture from bicycle accident. Insurance company requires transfer to another hospital for surgery, triggering Carol's resignation over managed care restrictions.

ER — S02E22Patient: Monique
Dementiasupporting

Also known as: Alzheimer's disease

DisorientationWandering

Elderly woman found naked at Buckingham Fountain, disoriented and unable to identify herself accurately. Suspected Alzheimer's disease. Police contacted to locate family or care facility.

ER — S02E22Patient: June Allyson (patient's stated name)

Also known as: Exposed intestines

Trauma patient with eviscerated small intestine requiring emergency surgery. Case occurs during Mark and Kerry's confrontation about the Chief Resident position.

ER — S02E22Patient: Julio Cadena
Multiple traumasupporting

Also known as: Major injuries from car accident

Femur fractureTibia-fibula fractureDecreased level of consciousness

Multiple victims from motor vehicle accident involving drunk driver hitting carload of teenagers on way to prom. Carter's first case as a new doctor at episode's end.