TvDx
ER

ERNBC

Season 6, Episode 12

10 medical diagnoses portrayed

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Also known as: Connection between aorta and intestine causing bleeding

Hemorrhagic shockGastrointestinal hemorrhage

Patient with repaired abdominal aortic aneurysm presents with flu-like symptoms but develops massive GI bleeding from an aortoenteric fistula. Corday misdiagnoses it as flu; Benton performs emergency laparotomy in the ER to control bleeding before transport to OR.

ER — S06E12Patient: Mr. Barnes

Also known as: Heart valve infection

Valvular vegetations

Adolescent boy injecting himself with black-market growth hormone using his grandmother's dirty insulin needles develops bacterial endocarditis with vegetations on his heart valve. He was using hormones to grow taller to avoid bullying at school.

ER — S06E12Patient: Marty

Also known as: Munchausen syndrome by proxy

Iatrogenic injuryMultiple unnecessary surgeries

Child with cerebral palsy whose mother has been poisoning him by injecting saline/acid through his G-tube to induce symptoms. Luka and Abby conduct a sting operation with marked saline to catch the mother in the act after noting multiple hospital admissions.

ER — S06E12Patient: Conner

Also known as: Bone marrow failure

Myocardial infarction

Hypochondriac patient presents with multiple vague complaints. Abby initially dismisses him and misses ordering a CBC. Patient develops acute MI secondary to severe anemia from undiagnosed aplastic anemia (crit of 18, WBC 1800).

ER — S06E12Patient: Mr. Spencer

Also known as: PCP overdose

Open fractures of both legsRhabdomyolysis

Patient on PCP jumps out of third-story window, sustains bilateral open leg fractures with exposed bone but doesn't feel pain initially. Extremely agitated, requires Haldol and restraints. Used as teaching case for Abby.

Also known as: MD

Loss of ambulationWheelchair dependence

Wheelchair-bound teenager with muscular dystrophy pushed down stairs after provoking classmate. Carter evaluates him for forearm fracture (negative) and addresses behavioral issues related to his progressive disability and loss of independence.

ER — S06E12Patient: Darnel Smith
Influenzasupporting

Also known as: Severe flu

Respiratory failureDehydration

Epidemic of flu overwhelming the ER with multiple patients and staff affected. One elderly homeless man develops respiratory failure from flu requiring ventilation; he ultimately dies. Background throughout episode showing hospital strain.

Heart failuresupporting

Also known as: CHF

Respiratory failure

Homeless patient with known CHF and influenza develops respiratory distress requiring ventilation. Declines aggressive intervention, dies peacefully in the ER and leaves money for his homeless friends.

Frostbitesupporting

Also known as: Frostbite

Patient with respiratory infection presents with superficial frostbite of toes, treated with rapid rewarming in 105-degree water.

Nephrolithiasissupporting

Also known as: Kidney stones

Patient presents with kidney stone not requiring surgery. Mentioned briefly as Elizabeth covers for Corday's misdiagnosis.