TvDx
ER

ERNBC

Season 4, Episode 21

7 medical diagnoses portrayed

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Also known as: Newborn heroin withdrawal

Maternal theft of methadoneSocial services intervention

A 7-month-old infant addicted to methadone whose mother has been stealing his medication. Doug Ross performs an unauthorized ultrarapid detox procedure under deep sedation to end the addiction and prevent the child from being returned to an unsafe home environment.

ER — S04E21Patient: Josh McNeal
Cellulitissupporting

Also known as: Skin infection

Post-surgical wound infection following cosmetic facial surgery (blepharoplasty and rhytidoplasty) in a televangelist, treated with IV antibiotics.

ER — S04E21Patient: Tina-Marie Chambliss

Also known as: Diabetic kidney disease

Elevated BUN and creatinineRisk of progression to renal failure requiring dialysis

Diabetic patient with poor glucose control discovered to have renal insufficiency with elevated kidney function markers, requiring IV fluids and close monitoring.

ER — S04E21Patient: Tina-Marie Chambliss

Also known as: Chocolate blood syndrome

Cyanosis despite oxygen therapyAltered mental status

An 11-year-old boy presents with cyanosis and altered mental status after visiting his grandfather's tulip farm. Carter diagnoses methemoglobinemia caused by nitrite contamination in groundwater, treating with methylene blue.

ER — S04E21Patient: Sam Adams

Also known as: Rat bites

Palmar fascia injuryRisk of infection

A 2-year-old child with severe rat bites to his fingers requiring surgical repair in the OR by plastics, highlighting poor living conditions.

Globe injurysupporting

Also known as: Eye injury

Partially extruded globeVision impairment

A 12-year-old girl with blunt trauma to the eye from running into a lamppost, resulting in partial globe extrusion requiring emergency eye shield placement and ophthalmology consultation.

ER — S04E21Patient: Cylla Voliotis

Also known as: Poor circulation in legs

Progressive claudicationSeverely limited ambulation

A 64-year-old heavy smoker with severe peripheral vascular disease scheduled for femoral-popliteal bypass surgery due to progressive inability to walk.

ER — S04E21Patient: Tancred Baumgartner