TvDx
ER

ERNBC

Season 6, Episode 20

13 medical diagnoses portrayed

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Also known as: CHF

Respiratory distressHypoxemia

Mark's father is in end-stage heart failure with worsening respiratory status requiring oxygen management. He ultimately dies from his progressive cardiac disease.

ER — S06E20Patient: David Greene (Mark's father)
Recurring storyline
Pneumoniasupporting

Also known as: Lung infection

Pleurisy

David Greene has pneumonia complicating his heart failure, causing pleuritic chest pain that is treated with Toradol.

ER — S06E20Patient: David Greene
Recurring storyline

Also known as: COPD

Respiratory failureAcidosisCO2 retention

A COPD patient in respiratory distress requires intubation, used as a teaching case for Abby's first intubation using an Airway Cam.

Also known as: Severe eating disorder

HypokalemiaDehydrationSevere malnutritionErosion of tooth enamel

Young woman presents with hematemesis and fainting at work. Elizabeth identifies her as anorectic and bulimic with dangerous complications, attempts to get a psychiatric hold, but the patient refuses treatment and leaves against medical advice.

ER — S06E20Patient: Claire
Bulimia nervosasupporting

Also known as: Bulimia

Gastrointestinal hemorrhageErosion of tooth enamel

The patient exhibits signs of bulimia including absent gag reflex and eroded tooth enamel, contributing to her presenting symptoms of vomiting blood.

ER — S06E20Patient: Claire

Also known as: Vascular insufficiency

GangreneBelow-knee amputation required

Patient returns after being seen by Kovac a month earlier for vascular insufficiency and ulcerated toe. Now has gangrenous toe requiring below-knee amputation. Kovac is confronted about inadequate follow-up care.

ER — S06E20Patient: Chet Fulton

Also known as: M-CAD

HypoglycemiaStatus epilepticusPotential permanent brain damage

Young boy has prolonged seizure due to undiagnosed rare metabolic disorder that prevents burning fat for energy. Chen advocates for expanded newborn genetic screening after learning the condition could have been prevented with a simple test and sugar water during illness.

ER — S06E20Patient: Kenny

Also known as: Chest injury

PneumothoraxRib fracturesHypotension

Patient hit by El train with multiple injuries including pneumothorax requiring chest tube and ongoing management for hypotension.

Also known as: Hole in the heart

HypotensionCardiogenic shock

Carter performs an unauthorized Swan-Ganz catheterization to diagnose a septal perforation in a patient with myocardial infarction, discovering oxygenated blood in the right ventricle indicating a hole between heart chambers requiring emergency surgery.

Also known as: Heart attack

Ventricular septal ruptureST elevation

Patient presents with acute MI requiring catheterization, but develops septal perforation requiring emergency surgical repair and bypass.

Also known as: Blood around the heart

Pericardial effusionHypotension

Blunt trauma patient develops cardiac tamponade requiring pericardiocentesis performed by Carter to drain fluid from around the heart.

Also known as: Dislocated knee

Patient from MVA with dislocated patella that Dave reduces under sedation as a teaching case.

Also known as: Child molestation

Hymenal transectionGenital bleedingPsychological trauma

Six-year-old girl from minor MVA is found to have bruised thighs, bloody underpants, and complete transection of hymen, revealing ongoing sexual abuse by her father. Social Services is called.