Also known as: Meningococcal sepsis
A college student presents with rapidly progressive meningococcal infection causing septic shock, petechial rash, and multi-organ failure. Despite aggressive resuscitation efforts including intubation and vasopressors, he deteriorates quickly and goes into cardiac arrest.
Also known as: Meningitis
A college sophomore initially misdiagnosed with flu presents with severe headache, fever, myalgias, and neck stiffness. After exposure to meningococcus is discovered through contact tracing, she is emergently intubated and undergoes lumbar puncture, requiring ICU admission.
An elderly post-operative patient develops severe sepsis with fever, hypotension, and multi-organ failure including acute kidney injury requiring dialysis. Despite aggressive treatment with antibiotics and pressors, she develops ventricular tachycardia and dies. This is part of a cluster of post-operative infections triggering an investigation into Dr. Corday.
Also known as: Smoke inhalation
A young child rescued from an apartment fire presents with smoke inhalation and minor injuries. She is treated with humidified oxygen and monitoring.
Also known as: Broken bones
A mother who jumped from a second-story apartment fire with her daughter sustains multiple fractures including right tibia-fibula and left femur (open fracture), requiring surgical intervention.
Also known as: Third-degree burn
A firefighter from the apartment fire scene presents with non-blistering burns with intact skin, treated with topical antibiotic and dressing.
Also known as: Foot fracture
The same firefighter has tenderness over the fifth metatarsal requiring splinting.
Also known as: Self-circumcision injury
A man presents with a 2-inch penile laceration after attempting self-circumcision with scissors. He requires surgical completion of the circumcision in the OR.
Also known as: Factor IX deficiency
A young man with factor IX deficiency presents with a hand laceration and missed doses of clotting factor. He has a Port-A-Cath for treatment but is discovered to be using it to inject heroin. He leaves against medical advice before social work intervention.
Also known as: Heroin addiction
The hemophiliac patient is discovered to have a positive opiate screen and admits to using his Port-A-Cath to inject heroin when unable to obtain Demerol, prompting discussion of catheter removal and rehab.