TvDx
ER

ERNBC

Season 4, Episode 9

10 medical diagnoses portrayed

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Also known as: Sickle cell pain crisis

Patient presents with severe pain claiming sickle cell crisis, requesting high doses of Demerol. Initially suspected of drug-seeking behavior, but ultimately treated with opioid pain management and adjunctive relaxation techniques by Dr. Ross.

ER — S04E09Patient: Mr. Jackson

Also known as: Kidney injury from bus accident

Cardiac arrestHemorrhagic shock

Mother involved in rollover motor vehicle accident presents with hypotension, chest and abdominal trauma. DPL grossly positive, patient arrests and undergoes emergency thoracotomy with aortic cross-clamping but ultimately dies.

ER — S04E09Patient: Allison's mother

Also known as: Compound leg fracture

Pulseless limbFat embolism syndromeCardiac arrest

Young girl from rollover accident with massive left leg crush injury, bone loss, and pulseless limb. Romano and Benton debate amputation versus limb salvage. They attempt ambitious vascularized free fibular transfer, but patient suffers fat embolism intraoperatively leading to cardiac arrest requiring open chest massage. Remains comatose post-operatively.

ER — S04E09Patient: Allison

Also known as: Broken voice box

Same trauma patient (Allison) also presents with possible laryngeal fracture from the motor vehicle accident, requiring intubation.

ER — S04E09Patient: Allison

Also known as: Spider bite

Anna's cousin presents with spider bite requiring IV antibiotics.

ER — S04E09Patient: Chase

Also known as: Intimate partner violence

BradycardiaAlcohol intoxication

Married couple brought in by police after mutual domestic violence incident. Wife (Darlene) tried to run over husband with pickup truck. She presents with pain, intoxication, and develops bradycardia requiring gastric lavage. Police seek warrant for blood alcohol and evidence collection, leading to Carter's arrest for obstruction when he protects patient's rights.

ER — S04E09Patient: Darlene and Eddie

Also known as: Tendon cut

Patient with partial extensor tendon laceration requiring irrigation, débridement, loose sutures and splint. Used as teaching case by attorney Herb Spivak posing as consultant.

Also known as: V-fib

Transient patient with scalp laceration who codes with ventricular fibrillation requiring defibrillation. Successfully resuscitated by Herb Spivak (attorney posing as doctor) and staff.

ER — S04E09Patient: Mr. Deindorfer

Also known as: Dislocated shoulder

Patient requiring shoulder reduction performed by Mark Greene with assistance from attorney Herb Spivak using in-line traction.

ER — S04E09Patient: Mrs. Miller
Carbunclesupporting

Also known as: Skin abscess

Carter's jail cellmate has a carbuncle that Carter advises him to soak in warm soapy water four times daily.

ER — S04E09Patient: Shrike