TvDx
ER

ERNBC

Season 3, Episode 18

12 medical diagnoses portrayed

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Also known as: Pregnancy diabetes

Fetal cardiac abnormalities riskMacrosomia risk

Peter Benton discovers that Carla has diabetes during pregnancy and becomes concerned about potential complications for their unborn child, leading him to review ultrasound tapes and consult specialists without her knowledge.

ER — S03E18Patient: Carla Reece
Recurring storyline
HIV/AIDSsupporting

Also known as: AIDS

Increased viral loadOpportunistic infections

Jeanie monitors her viral load which has increased to 1000, causing her concern on what would have been her anniversary with Al, who infected her with HIV.

ER — S03E18Patient: Jeanie Boulet
Recurring storyline
Porphyriasupporting
Unnecessary surgeriesMisdiagnosis as surgical emergency

Initially appears to be a case of undiagnosed porphyria presenting with acute abdominal pain, but is revealed to be a psychiatric patient with factitious disorder who has manipulated five previous surgeons into operating on her.

ER — S03E18Patient: Mrs. Blinnder

Also known as: Malingering

Multiple unnecessary surgeriesIngestion of foreign objects

Patient has convinced five doctors to perform unnecessary surgeries and swallows medical instruments (scissors, tweezers, pen) to force surgical intervention when denied operation.

ER — S03E18Patient: Mrs. Blinnder

Also known as: Dying bowel

Bowel infarctionSepsisGangrene

A 68-year-old patient with peripheral vascular disease presents with acute abdominal pain due to complete blockage of the artery supplying his small intestine. Carter advocates for surgery despite being deemed too high-risk by Anspaugh, leading to a major conflict. Surgery reveals extensive gangrene requiring removal of most of the small bowel.

ER — S03E18Patient: Mr. Bartok

Also known as: Multiple drug overdose

Respiratory failureBlindness from methanolCardiac toxicity

Woman with AIDS attempts suicide by overdosing on her HIV medications (3TC, ritonavir, AZT), psychiatric medications (Valium, desipramine, Prozac), methanol, and cutting her wrists. She is overwhelmed with guilt after her daughter died of AIDS that she transmitted to her.

ER — S03E18Patient: Suzanne Alner

Also known as: Wood alcohol poisoning

BlindnessPapilledemaMetabolic acidosis

Part of suicide attempt; patient develops blindness and requires dialysis for methanol ingestion.

ER — S03E18Patient: Suzanne Alner

Also known as: Wrist cutting

Blood loss

Patient cuts her wrists as part of a multi-method suicide attempt following the death of her daughter from AIDS.

ER — S03E18Patient: Suzanne Alner
HIV/AIDSsupporting

Also known as: AIDS

PneumoniaDeath

Deceased daughter of Suzanne Alner who contracted AIDS from her mother and died the previous month from AIDS-related pneumonia, triggering her mother's suicide attempt.

ER — S03E18Patient: Katie Alner
Cholecystitissupporting

Also known as: Gallbladder inflammation

Risk of sepsis

Teenage girl develops acute gallbladder inflammation on prom day requiring emergency surgery. Doug Ross arranges for her to attend prom briefly via ambulance before returning for cholecystectomy.

ER — S03E18Patient: Betsy
Heart failuresupporting

Also known as: CHF

Pulmonary edemaHypotensionRenal failure

Elderly patient presents with acute decompensated heart failure complicated by renal failure, requiring aggressive management with vasopressors and careful medication selection.

Also known as: Kidney failure

Elevated BUN and creatinineFluid overload

Same elderly patient with heart failure develops concurrent renal failure, creating treatment challenges regarding use of ACE inhibitors.