TvDx
ER

ERNBC

Season 7, Episode 13

10 medical diagnoses portrayed

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Also known as: Heart attack

Cardiac arrestHypotension

A clown aspirates a balloon at a children's birthday party, goes into cardiac arrest with myocardial infarction. Despite resuscitation attempts including heparin and dopamine, the patient dies.

ER — S07E13Patient: Clown patient

Also known as: Heart failure

Pulmonary edemaCardiac arrestVentricular tachycardia

A 16-year-old with two prior heart transplants develops severe congestive heart failure and cardiac arrest. He refuses a third transplant despite being placed on the transplant list. Central ethical conflict about patient autonomy versus parental decision-making.

ER — S07E13Patient: Nick Stevens

Also known as: Lupus

Renal insufficiencyDiabetes mellitusPericarditis

A bishop with lupus seeks steroid treatment for arthritis from the ER, hiding his full medical history including diabetes. Kovac discovers complications including renal insufficiency and possible pericarditis. Major subplot about end-of-life choices and continuing ministry versus accepting death.

ER — S07E13Patient: Bishop Stewart

Also known as: Diabetes

HyperglycemiaVision lossRenal damageCirculatory problems

The bishop's diabetes is severely exacerbated by steroid treatment for lupus, with blood sugar reaching 348. His primary physician explains the steroids are destroying his organs.

ER — S07E13Patient: Bishop Stewart
Pericarditissupporting

Also known as: Inflammation around the heart

Pericardial effusionChest pain

Bishop Stewart has non-specific EKG changes and a friction rub indicating fluid around the heart, likely related to his lupus.

ER — S07E13Patient: Bishop Stewart

Also known as: Mono

A young gay man presents with fever and is diagnosed with mono. This leads to HIV testing and counseling about high-risk sexual behavior with his HIV-positive partner.

ER — S07E13Patient: Jeff

Also known as: HIV risk

Jeff, a 23-year-old man, deliberately engages in unprotected sex with his HIV-positive partner Sean. Tests negative but continues risky behavior. Subplot addresses 'bug chasing' and relationship dynamics around HIV.

ER — S07E13Patient: Jeff
Abscesssupporting

Also known as: Infection

An injection drug user had an abscess on her forearm incised and drained the previous day. Greene provides her with clean needles as harm reduction, sparking conflict with Weaver.

ER — S07E13Patient: Janice

Also known as: Stopped breathing

HypoxiaCardiac arrest

The clown patient aspirates a balloon causing respiratory arrest, requiring intubation in the field.

ER — S07E13Patient: Clown patient

Also known as: Difficulty finding words

Mark continues to experience word-finding difficulties and personality changes from brain tumor treatment. Weaver becomes concerned about his fitness for duty and considers requiring evaluation. This is a significant ongoing character arc.

ER — S07E13Patient: Mark Greene
Recurring storyline