TvDx
ER

ERNBC

Season 4, Episode 18

13 medical diagnoses portrayed

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Urosepsissupporting

Also known as: Kidney stone infection

Young girl presents with fever and vomiting for two days. Mother initially resistant to treatment due to work obligations. Diagnosis reveals Gram-negative rods in urine and left shift on CBC, requiring IV antibiotics.

ER — S04E18Patient: Quinesha Beavans

Also known as: Twisted stomach

Hemorrhagic shock from ruptured varicesIntraoperative death

Pathologist involved in car accident self-diagnoses gastric volvulus secondary to paraesophageal hernia. Undergoes laparoscopic surgery that is converted to open procedure due to uncontrolled bleeding from varices, ultimately resulting in his death on the operating table.

ER — S04E18Patient: Dr. Lyle Swanson
Gastric volvulus

Underlying structural abnormality that led to the gastric volvulus. Patient had deferred surgical repair for years despite knowing about the condition.

ER — S04E18Patient: Dr. Lyle Swanson

Also known as: Bleeding vessels in throat

Massive hemorrhageDeath

Patient had varices secondary to cirrhotic liver from hepatitis B. During laparoscopic surgery, uncontrolled bleeding from varices leads to his death despite conversion to open procedure and thoracotomy.

ER — S04E18Patient: Dr. Lyle Swanson

Also known as: Liver scarring

Esophageal varices

Underlying liver disease secondary to hepatitis B infection, which caused the esophageal varices that ultimately led to fatal hemorrhage during surgery.

ER — S04E18Patient: Dr. Lyle Swanson

Also known as: Liver inflammation

CirrhosisEsophageal varices

Chronic viral infection that caused cirrhotic liver disease and subsequent varices in Dr. Swanson.

ER — S04E18Patient: Dr. Lyle Swanson

Also known as: RSV

Respiratory distressLaryngeal edemaRespiratory arrest

Six-month-old twins present in respiratory distress with wheezing and retracting. One twin develops severe laryngeal edema requiring emergency intubation.

Also known as: Scratched cornea

Patient presents with eye injury, diagnosed with corneal scratch requiring antibiotic eye drops.

ER — S04E18Patient: Mr. Bartlett
Appendicitissupporting

Also known as: Inflamed appendix

Pediatric patient examined by Romano for appendicitis, requiring fluid resuscitation before surgery. Brief conflict between Doug and Romano over fluid management.

Also known as: Blocked intestine

Patient in exam room 2 requiring surgical consultation, briefly mentioned as Carter is considering bone marrow donation.

Also known as: Blood cancer

SepsisCardiac arrestBone marrow failure

Dr. Anspaugh's son continues his battle with leukemia. Failed to match recent bone marrow donors. Offered experimental Phase One chemotherapy but ultimately decides against further treatment and chooses palliative care. Experiences febrile episode with cardiac arrest during the episode.

ER — S04E18Patient: Scott Anspaugh
Recurring storyline
Sepsismajor

Also known as: Blood infection

Cardiac arrest

Scott develops fever of 104 and arrests, likely due to sepsis given his immunocompromised state from leukemia. Successfully resuscitated with epinephrine and antibiotics.

ER — S04E18Patient: Scott Anspaugh
Recurring storyline

Also known as: Heart injury from chest trauma

Former patient of Dr. Corday presents after motor vehicle accident with chest pain from hitting steering wheel. Evaluated for possible cardiac contusion or aortic tear.

ER — S04E18Patient: Allison