Also known as: Early labor
Carla Reece presents in active preterm labor at 32 weeks gestation after failed tocolysis, progressing rapidly from 4 to 9 centimeters dilation, ultimately delivering a premature infant with significant complications.
Also known as: RDS, immature lungs
The premature infant born at 32 weeks develops severe respiratory distress syndrome with poor Apgar scores (4 at 1 minute), requiring intubation, surfactant administration, and eventually consideration of oscillating ventilator and inhaled nitric oxide therapy due to inadequate oxygenation.
Also known as: Blood infection in newborn
The premature infant develops sepsis with hypotension (BP 30/18) and pneumonia shown by gram-negative bacteria on endotracheal aspirate and diffuse patchy infiltrate on chest x-ray, requiring albumin, dopamine, and broad-spectrum antibiotics (ampicillin and gentamicin).
Also known as: Perforated stomach ulcer
Patient presents with acute abdomen, board-like rigidity, and guarding in all four quadrants. Imaging reveals free air under the diaphragm indicating a perforated stomach ulcer that has sealed against the liver. Patient refuses surgery due to trauma from father's death during gallbladder surgery, leading to conflict over medical versus surgical management.
Also known as: Hyponatremia from excessive water drinking
MVA patient who consumed approximately 3 gallons of water attempting to dilute urine for pre-employment drug test, resulting in severe hyponatremia (sodium 115) and seizure activity.
Also known as: Broken arm
Five-year-old child presents with wrist fracture (Colles' fracture) requiring closed reduction performed by Dr. Ross and Nurse Hathaway while singing to distract the patient.
Also known as: Pregnancy diabetes
Carla has gestational diabetes complicating her pregnancy, requiring blood sugar monitoring during labor and contributing to concerns about neonatal outcomes.
Also known as: PTSD
Dr. Greene returns to work after being assaulted in the ER bathroom, struggling with hypervigilance, emotional distress about being a victim rather than treating victims, and pressure from colleagues to seek treatment for PTSD symptoms.