TvDx
ER

ERNBC

Season 8, Episode 3

18 medical diagnoses portrayed

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Also known as: Dangerously low body temperature in newborn

Peripheral cyanosisWeak cryPoor perfusion

An abandoned newborn female found at a church, approximately 2 hours old, presents with severe hypothermia (temperature 91.2°F), requiring urgent warming and resuscitation. The team struggles to establish IV access and eventually succeeds with an umbilical line.

Also known as: Low blood count in newborn

TachycardiaHemolysis

The abandoned newborn develops acute anemia with hemoglobin dropping from 12.2 to 8.2, presenting with tachycardia (heart rate 180). Carter catches this by repeating the hemoglobin check and initiates blood transfusion.

A young woman struck by a car is discovered to have recently given birth with a retained placenta and severed umbilical cord (tied with her shoelace). She is the mother of the abandoned newborn found earlier.

ER — S08E03Patient: Anna

Also known as: Ruptured spleen

Internal bleedingHypovolemia

The same postpartum woman has a fractured spleen from being hit by a car, requiring emergency splenectomy. She presents with internal bleeding, low blood pressure (80 systolic), and dropping crit (28 after 2 units).

ER — S08E03Patient: Anna

Also known as: Advanced dementia

Inability to recognize familyLoss of activities of daily living

An elderly woman with end-stage dementia develops acute appendicitis. Her husband initially refuses surgery citing quality of life, but changes his mind after she briefly regains lucidity and recognizes him by name for the first time in two years.

ER — S08E03Patient: Mrs. Tanzi

Also known as: Inflamed appendix

PerforationPeritonitis risk

The dementia patient develops appendicitis that perforates, temporarily relieving pain but creating risk of peritonitis. She ultimately undergoes surgery after her husband changes his mind about treatment.

ER — S08E03Patient: Mrs. Tanzi

Also known as: UTI

A young woman presents with possible bladder infection. Mark initially treats her quickly, but Weaver insists on more thorough examination including pelvic exam to rule out pyelonephritis or PID.

ER — S08E03Patient: Jenny
Ankle sprainsupporting

Also known as: Sprained ankle

A Renaissance Faire performer on stilts is knocked over by children during a jousting demonstration. Mark examines him and determines it's a sprain rather than fracture since he can walk on it.

Also known as: Bite injury

A patient presents with a human bite to the buttocks, requiring wound culture and suturing with Augmentin prophylaxis. Noted as a repeat visitor with similar injuries.

ER — S08E03Patient: Candy
Chest painsupporting

A 22-year-old woman on birth control presents with chest pain reproduced by palpation. Chen considers pulmonary embolism risk, but Weaver takes over the case. EKG is normal and pulse ox is 97%.

Rectal prolapsesupporting

Also known as: Prolapsed rectum

Malucci treats Chen's patient without permission using the 'sugar trick' to reduce a prolapsed rectum, causing conflict between the doctors over patient management.

Also known as: Separated shoulder

A mime/stilt-walker knocked over by children requires x-ray evaluation for possible shoulder separation. He attempts to leave before results are back to attend a game.

ER — S08E03Patient: Mr. O'Groat

Also known as: Alcohol withdrawal

Tremors

A patient with alcohol withdrawal presenting with tremors ('the shakes') is treated with Librium and fluids, with liver panel ordered.

Anaphylaxissupporting

Also known as: Severe allergic reaction

Respiratory distressTachycardia

A woman in a corset develops an allergic reaction to meat with respiratory distress (dropped oxygen saturation) and tachycardia (heart rate 180), requiring emergency treatment.

ER — S08E03Patient: Yolanda

Also known as: Neck injury

A homeless man caught in his own trap requires lateral C-spine imaging along with chest and pelvis x-rays for trauma evaluation.

ER — S08E03Patient: Jungle Bob

Also known as: Stopped breathing

A patient in a stuck elevator stops breathing, requiring emergency airway management. Malucci performs a retrograde intubation in the confined space.

Thermal burnsupporting

Also known as: Third-degree burn

A fire-eater presents with facial burns after using flammable hair gel instead of Vaseline on his mustache. Requires débridement and shaving of the remaining mustache.

Also known as: Back pain

Carter experiences ongoing back pain from his stabbing injury. His grandmother insists he see an orthopedist, but Carter explains it's related to his previous trauma, not an orthopedic issue.

ER — S08E03Patient: John Carter
Recurring storyline