TvDx
ER

ERNBC

Season 3, Episode 22

8 medical diagnoses portrayed

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Also known as: Heart attack

Heart blockHeart failureSecond-degree atrioventricular block

39-year-old male with family history of early coronary disease develops chest pain during weight training at the gym. He progresses to an acute MI with ST elevation, develops second-degree heart block (Mobitz type II), goes into heart failure with pulmonary edema, and requires emergency transcutaneous and transvenous pacing before receiving a permanent pacemaker.

ER — S03E22Patient: Mr. Munder
Ileussupporting

Also known as: Paralyzed bowel

DehydrationElectrolyte imbalance

92-year-old man presents with vomiting, dehydration, and abdominal distension. Found to have medication-induced ileus with hypokalemia. Also suffering from malnutrition and pressure ulcers due to inadequate home care by his elderly wife.

ER — S03E22Patient: Burt Curwane

Also known as: Drug relapse

HypothermiaHypotension

14-year-old homeless girl found face down in mud at Grant Park, overdosed on multiple substances including cocaine, methamphetamine, heroin, and benzodiazepines. Blood alcohol level 0.23. Has track marks and skin infections from injection drug use. Runaway from foster care where she was allegedly molested.

ER — S03E22Patient: Charlie
Cellulitissupporting

Also known as: Skin infection

The teenage overdose patient has skin infections from injection drug use (skin popping), treated with IV antibiotics including Ancef and gentamicin.

ER — S03E22Patient: Charlie

Also known as: Liver inflammation

Lab results on the teenage overdose patient show elevated AST and bilirubin, indicating hepatitis, likely related to her IV drug use.

ER — S03E22Patient: Charlie

Also known as: Hip inflammation

8-year-old boy presents with right hip pain and recent upper respiratory infection. Dr. Del Amico orders extensive workup concerned about septic arthritis, but Dr. Ross diagnoses benign transient synovitis based on CBC and treats with Advil. Creates conflict between the two physicians about appropriate diagnostic workup.

ER — S03E22Patient: Chuck Martinez

Also known as: Collapsed lung in newborn

AnoxiaPotential neurodevelopmental problems

Peter Benton's premature son (delivered at 32 weeks) had severe respiratory complications requiring oscillating ventilator and nitric oxide therapy. Successfully transitioned to regular respirator. Suffered perinatal anoxia raising concerns about potential brain damage and developmental disabilities, though ultrasound and CT show no structural brain abnormalities. Represents ongoing emotional crisis for Benton.

ER — S03E22Patient: Reese Benton
Recurring storyline
Pressure ulcersupporting

Also known as: Bed sore

92-year-old patient has multiple pressure ulcers in sacral area due to inadequate care at home, indicating need for nursing home placement.

ER — S03E22Patient: Burt Curwane