TvDx
ER

ERNBC

Season 7, Episode 12

11 medical diagnoses portrayed

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Also known as: GSW

Brain stem injuryFixed and dilated pupilsAsystoleDeath

Teenage boy sustains fatal gunshot wound to right temple while playing Russian roulette with friend. Patient arrives asystolic, with fixed dilated pupils and signs of brain stem injury. Despite prolonged resuscitation attempts, patient is pronounced dead after 45 minutes of CPR.

Also known as: Torn aorta

HypotensionHemorrhagic shockRisk of paralysis from spinal cord ischemia

Fire victim with blunt trauma presents with widened mediastinum and pleural effusion on chest x-ray. Transesophageal echo reveals traumatic pseudoaneurysm of the aorta. Elizabeth performs emergency thoracotomy and aortic graft repair, incorporating intercostal arteries to maintain spinal cord perfusion and reduce paralysis risk.

Also known as: Electrical injury

HyperkalemiaVentricular tachycardiaVentricular fibrillationCardiac arrestDeath

Woman sustains high-voltage electrical injury, possibly from touching power line, with entry and exit wounds causing internal burns. Develops severe hyperkalemia (potassium 7.5), leading to wide-complex ventricular tachycardia progressing to ventricular fibrillation. Despite aggressive resuscitation including defibrillation and medications, patient dies after 25 minutes.

Also known as: Third-degree burn

Airway edemaFluid imbalanceAcute kidney injurySepsisExpected death

Fire victim presents with estimated 92% partial-thickness burns sustained in sweatshop fire. Patient requires aggressive fluid resuscitation, escharotomy, and intubation for airway protection. Prognosis is discussed as fatal, with expected death in approximately one week from infection, fluid imbalances, and kidney failure.

Also known as: Smoke inhalation

HypoxemiaAirway edemaRespiratory failure

Multiple fire victims present with smoke inhalation injuries requiring oxygen therapy, intubation, and monitoring of carboxyhemoglobin levels. Carter intubates one patient whose oxygen saturation drops critically despite high-flow oxygen.

Chlamydiasupporting

Also known as: Chlamydia

UrethritisDysuria

Two elderly men in their late 70s from the same nursing home present with sexually transmitted chlamydia infection, causing burning with urination. The condition is treated as part of an outbreak at their facility, with humorous subplot about their romantic rivalry.

ER — S07E12Patient: Walter

Also known as: Severed finger

Worker presents with finger amputation, likely from industrial saw injury at illegal sweatshop. Patient is reluctant to disclose mechanism of injury due to immigration status concerns. Kerry pursues OSHA notification for workplace safety violations.

Priapismsupporting

Also known as: Prolonged erection

Young patient presents with cocaine-induced priapism requiring needle drainage. Patient reports Christian beliefs preventing masturbation as potential relief method.

ER — S07E12Patient: Gary
Lacerationsupporting

Also known as: Cut

Elderly man sustains lip laceration and possible jaw fracture from physical altercation over romantic rivalry at nursing home. Treated with sutures.

Also known as: Heroin addiction

RelapseNear-relapse with Vicodin

Carter continues his recovery from opioid addiction with ongoing restrictions on prescribing controlled substances. He has a significant scene where he confesses to Chase about being a drug addict, acknowledging he thinks about getting high every day. His restrictions create conflict when a critical patient needs sedation.

ER — S07E12Patient: John Carter
Recurring storyline
Aphasiasupporting

Also known as: Speech/language problems

Mark exhibits pronoun confusion (mixing 'he' and 'she'), a potential sign of aphasia or language processing difficulty following his brain tumor treatment. Kerry notices the pattern and questions Elizabeth about personality changes, though Mark appears unaware of the deficit.

ER — S07E12Patient: Mark Greene
Recurring storyline