Also known as: Narcotic overdose
A 2-year-old boy found wandering presents with decreased respirations, pinpoint pupils, and altered mental status. He tests positive for opiates and responds to sublingual Narcan administration. The child was later discovered to have been kidnapped by his nanny and her drug-addicted boyfriend.
Also known as: Skin infection
The same 2-year-old has infected lacerations on his feet, treated with IV oxacillin for cellulitis secondary to neglect and abandonment.
Also known as: Water on the brain with shunt
During examination, a VP shunt is discovered running from the child's brain ventricles to his peritoneum, placed to drain excess fluid from congenital hydrocephalus. Initially suspected as a source of infection but ruled out.
Also known as: Ruptured triple-A
A 68-year-old man presents with back pain after lifting heavy boxes. Physical exam reveals a pulsatile abdominal mass, and ultrasound confirms an abdominal aortic aneurysm. Used as a teaching case during morning rounds.
Also known as: Seizure disorder
A middle-aged man with known epilepsy has a seizure while driving, causing a car accident. His 10-year-old daughter takes control of the vehicle and drives him to the ER. He is treated with Ativan and loaded with Dilantin.
Also known as: Facial cut
A 10-year-old girl sustains facial lacerations and forehead bruising after taking control of her father's car during his seizure and hitting an El stanchion. No loss of consciousness noted.
Also known as: Eye socket fracture
A young student presents after being mugged, with suspected orbital rim fracture. Advised to apply ice and keep head elevated, with possible antibiotics pending.
Also known as: Broken bones
Antoine returns after confronting his mugger and sustains multiple injuries: Colles fracture with dorsal angulation of the left wrist, fifth metacarpal fracture with rotational deformity requiring surgical pinning. This prevents him from attending his summer science lab interview, a major plot point about consequences of violence.
Also known as: GSW to chest
A 40-year-old man threatening suicide with a gun is shot by police and arrives with two GSWs to the left chest in full arrest. Thoracotomy reveals shredded left ventricle and transected ascending aorta. Patient dies despite resuscitation efforts. Contrasted with the police officer who was only grazed.
Also known as: Twins
Carol performs a self-ultrasound after her OB appointment is canceled and discovers she is pregnant with twins. She reveals the pregnancy to her coworkers at the end of the episode. Due date is early November.
Also known as: Liver inflammation
Jeanie reveals to Reggie that she has hepatitis C, which she had kept secret initially. She is responding well to medication and the condition is under control. This disclosure is part of her ongoing health journey and relationship with Reggie.