TvDx
ER

ERNBC

Season 3, Episode 11

8 medical diagnoses portrayed

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Also known as: Fungal meningitis

Altered mental statusPhotophobiaFever

A woman presents with fever, photophobia, altered mental status speaking in rhymes, and disorientation. Dr. Greene battles with legal and psych to perform a spinal tap against her will, eventually diagnosing cryptococcal meningitis. The case drives conflict between medical necessity and patient autonomy throughout the episode.

ER — S03E11Patient: Shelly Dunleavy
Hypercalcemiasupporting

Also known as: High calcium levels

Second-degree heart blockBradyarrhythmia

A pediatric patient's calcium rises to 13.5, causing second-degree heart block and bradyarrhythmia. Benton criticizes Gant for failing to monitor the labs promptly, leading to a near-fatal complication. This case contributes to the episode's tension between Benton and Gant.

ER — S03E11Patient: Serena

Also known as: Rape

Mandible fractureUlnar fractureConcussionGenital trauma

Charlie, the homeless teen Doug has been trying to help, is brought in after being beaten and raped by a pimp. She has a broken jaw, broken arm, concussion, and genital trauma. This case represents the culmination of Charlie's storyline in the episode.

ER — S03E11Patient: Charlie
Recurring storyline

Also known as: Head trauma

Open skull fractureLoss of eyeLoss of consciousness

Dennis Gant either jumps or falls in front of an El train, sustaining catastrophic injuries including open skull fracture, exposed brain matter, loss of one eye, and multiple other injuries. The code team works on him before realizing the patient is Gant himself, ending the episode on a tragic note.

ER — S03E11Patient: Dennis Gant

Also known as: Major injuries from car accident

Multiple extremity fracturesFlail chestHemorrhagic shockCardiac arrest

In addition to the head injury, Gant presents with multiple extremity fractures, flail chest, hypotension (60/40), and loss of pulse requiring aggressive resuscitation including rapid transfusion, chest tube, and intubation.

ER — S03E11Patient: Dennis Gant

Also known as: Broken jaw

Charlie sustains a mandible fracture from being beaten, requiring panorex imaging and orthopedic evaluation.

ER — S03E11Patient: Charlie
Recurring storyline
Ulnar fracturesupporting

Also known as: Broken forearm

Charlie has a broken right ulna (forearm bone) from the assault, identified on physical exam.

ER — S03E11Patient: Charlie
Recurring storyline
Concussionsupporting

Also known as: Mild traumatic brain injury

Charlie sustains a concussion from the assault, requiring CAT scan evaluation to rule out more serious intracranial injury.

ER — S03E11Patient: Charlie
Recurring storyline