TvDx
ER

ERNBC

Season 4, Episode 17

12 medical diagnoses portrayed

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Also known as: Bone marrow failure

PancytopeniaImmunosuppressionInfection risk

Scott Anspaugh presents with pancytopenia (low blood cell counts) and requires a bone marrow biopsy. Results reveal lymphoma has returned to his bone marrow, requiring bone marrow transplant and isolation due to infection risk. A bone marrow donor drive is organized.

ER — S04E17Patient: Scott Anspaugh
Recurring storyline

Also known as: Cancer of the lymphatic system

Bone marrow infiltrationImmunosuppression

Biopsy results reveal Scott's cancer has returned with lymphoma cells in the bone marrow, necessitating bone marrow transplant. This represents a relapse of his previous cancer.

ER — S04E17Patient: Scott Anspaugh
Recurring storyline

Also known as: Severe morning sickness

DehydrationHypokalemiaRenal dysfunctionCardiac arrhythmia risk

18-week pregnant woman presents with persistent severe nausea and vomiting, dehydration, 6-pound weight loss, low potassium, and renal dysfunction. Despite history of three miscarriages, she initially refuses medication due to fetal risk concerns but is counseled about maternal health risks.

ER — S04E17Patient: Karen

Also known as: GSW to chest

Pericardial tamponadeCardiac arrest

70-year-old storeowner with multiple gunshot wounds to chest and abdomen from small-caliber firearm. Develops pericardial tamponade requiring pericardiocentesis. His heart stops but is resuscitated. Receives experimental HemoAid blood substitute.

ER — S04E17Patient: Won Sok Jang

Also known as: Blood around the heart

Cardiac arrestHemodynamic collapse

Gunshot wound patient develops pericardial tamponade with muffled heart sounds, neck vein distension, hypotension, and bradycardia. Requires emergency pericardiocentesis to relieve pressure on the heart.

ER — S04E17Patient: Won Sok Jang

Also known as: Kidney injury from bus accident

Pancreatic injury

Pedestrian struck by Dr. Benton's car presents with superficial lacerations, contusions, abrasions, and headache. Labs reveal elevated amylase and lipase indicating pancreatic injury. Also found to have elevated blood alcohol level (0.16).

ER — S04E17Patient: Miss Ingram

Auto-pedestrian accident victim has elevated amylase and lipase levels on labs indicating pancreatic injury, initially missed but caught on review.

ER — S04E17Patient: Miss Ingram

Also known as: Neck injury

20-year-old unrestrained passenger in motor vehicle accident with neck, shoulder, chest, and abdominal pain, questionable loss of consciousness. Requires cross-table C-spine imaging and trauma workup.

ER — S04E17Patient: Ann Witchger

Also known as: Stomach outlet blockage

Gastric distensionVasovagal responseBradycardia

Patient with pyloric stenosis secondary to chronic ulcer disease presents with severe heartburn after eating. Develops gastric distension and vasovagal bradycardia requiring needle decompression of the stomach.

ER — S04E17Patient: Mr. Plazik

32-year-old female presents with high fever for five days, used as teaching case by Dr. Morgenstern to emphasize learning patient stories.

Also known as: Head laceration

Infant involved in car accident while in car seat, initially febrile, becomes somnolent after accident. Evaluated with normal fundoscopic exam and found to be interactive, CT scan deemed unnecessary.

ER — S04E17Patient: Reece Benton
Constipationsupporting

Pediatric patient ruled out for appendicitis but diagnosed with constipation, humorously attributed to 'too many bologna and cheese sandwiches' and video game time.