TvDx
ER

ERNBC

Season 4, Episode 5

8 medical diagnoses portrayed

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Cholecystitissupporting

Also known as: Gallbladder inflammation

65-year-old woman with recurring right upper-quadrant pain, fever, elevated white count, and vomiting bilious material. Mark Greene refuses to complete the examination after the patient acts inappropriately, creating conflict with Jeanie.

ER — S04E05Patient: Marian Rice
Pulmonary metastasesDyspnea

20-year-old college runner presenting with progressive shortness of breath. X-ray shows cannonball infiltrates in lungs and physical exam reveals testicular mass. Patient has emotional breakdown during examination and temporarily flees before accepting treatment requiring orchiectomy and chemotherapy.

ER — S04E05Patient: Brett Nicholson

Also known as: Adrenal tumor

Hypertensive crisisVentricular fibrillationTumor infarction

49-year-old man presents after MVA caused by sudden severe headache. Carter recognizes classic triad of headache, palpitations, and severe hypertension (210/160), orders abdominal CT confirming adrenal mass. Patient crashes into V-fib from tumor infarction requiring emergency surgery.

ER — S04E05Patient: Tom Angevine

Also known as: GSW

Recurring trauma patient with through-and-through GSW to right shoulder. Attempts to leave against medical advice before surgical wound exploration. Anna Del Amico wants to débride the wound herself.

ER — S04E05Patient: Ernesto Ruiz

Also known as: Diabetic toe infection

GangreneLoss of sensation

49-year-old diabetic male with gangrenous left toe after delaying treatment of infection. Has lost sensation in foot. Requires surgical toe amputation.

ER — S04E05Patient: Joseph Kupchak

Also known as: Alcohol poisoning

LacerationCombative behaviorAltered mental status

Patient found unresponsive with heavy alcohol odor. Becomes extremely combative when given Narcan, requiring restraints. Sustains laceration after kicking out ambulance window. Mark Greene loses control and yells at the patient.

ER — S04E05Patient: Mr. McNamara
Pneumoniasupporting

Also known as: Lung infection

Recurring patient with history of two episodes of pneumonia who comes to ER regularly for checkups with Haleh. Carol performs chest exam and discusses idea of free clinic where he could receive follow-up care.

ER — S04E05Patient: Pablo
Recurring storyline
HIV/AIDSsupporting

Also known as: AIDS

Recurring storyline of Jeanie's husband living with HIV. Episode shows confrontation at bar where friend Billy Nelson, who was potentially exposed during Al's motorcycle accident, angrily accuses Al of trying to give him AIDS, leading to physical altercation.

ER — S04E05Patient: Al Boulet
Recurring storyline