TvDx
ER

ERNBC

Season 5, Episode 20

9 medical diagnoses portrayed

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Also known as: Rape

Splenic injuryRespiratory arrest

A comatose patient from the medical ward is found in the ER hallway beaten and sexually assaulted by someone posing as hospital staff. She requires emergency intubation and exploratory laparotomy for splenic injury. The perpetrator is later found to have committed suicide in the hospital switch room.

ER — S05E20Patient: Sulla Andrews (later identified as Laurie Heller)

Also known as: Struck by lightning

RhabdomyolysisMyoglobinuriaVentricular fibrillationFull-thickness burns

A 33-year-old electrical repairman suffers a lightning strike while on a power pole, resulting in a 15-foot fall, cardiac arrhythmias, burns, and muscle breakdown requiring defibrillation during the power outage.

Also known as: Broken hip

Sacral decubitus ulcer with cellulitis

Elderly woman with Alzheimer's falls down back stoop and sustains hip fracture with internal rotation. Later revealed she was shot by her husband in an attempted murder-suicide due to his depression over their declining health and financial situation.

ER — S05E20Patient: Gladys Armstrong

Also known as: Suicide attempt

Elderly man caring for his wife with Alzheimer's experiences severe depression and suicidal ideation due to financial concerns and inability to care for his wife. He shoots his wife in what appears to be an attempted murder-suicide pact.

ER — S05E20Patient: Army Armstrong
Strokesupporting

Also known as: Brain attack

Altered mental statusPossible subsequent stroke

Woman with history of embolic stroke two years prior on anticoagulation presents with shortness of breath and later develops altered mental status during power outage, requiring intubation and lumbar puncture to assess for overanticoagulation.

ER — S05E20Patient: Phyllis Farr
Scalp avulsionsupporting

Also known as: Scalp torn off

Woman falls headfirst down escalator at O'Hare airport resulting in partial scalp avulsion requiring surgical repair and suturing.

ER — S05E20Patient: Ms. Price
Pressure ulcersupporting

Also known as: Bed sore

Cellulitis

Elderly bedridden woman with Alzheimer's has bleeding sacral decubitus ulcer with surrounding cellulitis, treated with IV antibiotics. Later discovered to be a gunshot wound rather than a bedsore.

ER — S05E20Patient: Gladys Armstrong

Also known as: Coma

Patient in vegetative state for 10 days following traffic accident, family considering withdrawal of care when she is sexually assaulted in the hospital.

ER — S05E20Patient: Laurie Heller
Pregnancysupporting

Also known as: Unplanned pregnancy

Carol is in her first trimester of pregnancy with Doug Ross's child and is writing him a letter to inform him, experiencing typical pregnancy symptoms including fatigue and food cravings.

ER — S05E20Patient: Carol Hathaway
Recurring storyline