TvDx
ER

ERNBC

Season 4, Episode 3

11 medical diagnoses portrayed

Watch on Amazon

Also known as: Stroke with bleeding in the brain

Cerebral edemaRespiratory arrestDecerebrate posturingCerebellar hemorrhage

A 27-year-old woman presents with altered consciousness and is initially diagnosed with a brainstem infarction. After a period of lucidity, she decompensates. MRI reveals a leaking cerebellar aneurysm requiring emergency neurosurgery. The case drives significant conflict regarding consent and diagnosis uncertainty.

ER — S04E03Patient: Kirsty Toren

Also known as: Artery injury behind the knee

Loss of distal pulsesRisk of limb loss

A weapons merchant accidentally shoots himself in the leg while ejecting a clip. He sustains a popliteal artery injury requiring vascular surgery to prevent limb loss.

ER — S04E03Patient: Ed

Also known as: GI bleed

TachycardiaHypovolemia

An 18-year-old with bulimia returns to the ER with upper GI bleeding, likely from a Mallory-Weiss tear due to repeated vomiting. Her case highlights Dr. Greene's earlier failure to admit her to psychiatry.

ER — S04E03Patient: Laura Quentin
Bulimia nervosasupporting

Also known as: Bulimia

Upper GI bleedingMallory-Weiss tear

Laura Quentin's underlying bulimia nervosa led to her upper GI bleed. Dr. Greene acknowledges he should have admitted her to psychiatry on her previous visit.

ER — S04E03Patient: Laura Quentin
Cellulitissupporting

Also known as: Skin infection

A case assigned to Carter for teaching purposes involving ulcer debridement of a cellulitis patient.

Inguinal herniasupporting

Also known as: Hernia in groin

A pediatric patient with an inguinal hernia treated by Dr. Ross using Trendelenburg positioning and ice pack therapy for reduction.

Colles fracturesupporting

Also known as: Broken wrist

Bill sustains a Colles fracture (wrist fracture) in a workplace accident. The case becomes significant due to potential HIV exposure from his coworker Al.

ER — S04E03Patient: Bill
Hand lacerationsupporting

Also known as: Cut hand

Potential disabilityLoss of hand functionTendon injury

Al tears his hands grabbing a running cable to prevent a workplace accident. The injury may require surgery and raises workers' compensation issues. Al is also HIV-positive, creating exposure concerns.

ER — S04E03Patient: Al Casey
Gluteal abscesssupporting

Also known as: Infected abscess on buttocks

A patient presents with a deep abscess from sitting on a nail at a bar, requiring incision and drainage by Dr. Ross.

HIV/AIDSsupporting

Also known as: AIDS

Occupational exposure risk to coworker

Jeanie's HIV-positive status becomes central when her coworker Al has a workplace accident that may have exposed Bill to HIV through blood contact. The episode explores workplace stigma and disclosure issues.

ER — S04E03Patient: Jeanie Boulet
Recurring storyline

Also known as: Perforated eardrum

Tinnitus

The new desk clerk Cynthia experiences tinnitus (ringing in the ears) after the ambulance explosion, examined by Dr. Greene who confirms the eardrum is intact.

ER — S04E03Patient: Cynthia Hooper