TvDx
ER

ERNBC

Season 6, Episode 18

6 medical diagnoses portrayed

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Also known as: Kidney injury from bus accident

Potential bowel perforation

16-year-old driver involved in MVA with seat belt injury causing abdominal pain and guarding. Despite clear CT scan, elevated white count and clinical concern lead to exploratory laparotomy, which becomes central to a conflict between Finch, Benton, and Corday over surgical management.

ER — S06E18Patient: Eli Emerson
DehydrationKetones in urineSyncope

Mother of four young children presents with syncope, dehydration, and malnutrition. Found to be 8 weeks pregnant and overwhelmed. Episode explores ethical tension when Abby arranges abortion without husband's knowledge, but patient ultimately decides against it after husband's intervention.

ER — S06E18Patient: Lynn Parker

Also known as: Blood cancer

Bone pain

Worker's compensation patient initially thought to be malingering back pain from fall. Critical lab value reveals white count of 150,000 with 95% blasts, diagnosing acute myelogenous leukemia. Creates dramatic irony when patient who seemed to be faking illness receives devastating cancer diagnosis.

ER — S06E18Patient: Mr. Fazio
Anaphylaxissupporting

Also known as: Severe allergic reaction

Respiratory failureShock

10-year-old in shock with peanut allergy requiring emergent intubation. Scene highlights Carter's post-suspension struggles when Romano takes over the difficult fiber-optic intubation after Carter's attempt fails.

Also known as: Anxiety attacks

Patient presenting with chest tightness and pounding heart attributed to anxiety from difficult divorce. Initially worked up for cardiac causes. Later becomes victim of lab mix-up when temporarily told he has leukemia, creating additional trauma and potential lawsuit.

ER — S06E18Patient: Mr. Simpson
Lung cancersupporting

Also known as: Lung cancer

Respiratory distressFunctional decline

Mark's father continues terminal decline at home with increasing dependence, requiring portable oxygen and assistance with ADLs. Episode shows progression of his functional decline when he becomes tangled in oxygen tubing attempting to use bathroom, leading to urinary incontinence and loss of dignity.

ER — S06E18Patient: David Greene (Mark's father)
Recurring storyline