TvDx
ER

ERNBC

Season 8, Episode 9

13 medical diagnoses portrayed

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Also known as: Brain death

Organ procurement decisionsFamily conflict over donor consent

Young woman shot in the head during a gas station robbery sustains brainstem damage resulting in brain death. Central storyline involves organ donation consent and a non-heart-beating procurement protocol, with her husband struggling to understand brain death versus cardiac death.

ER — S08E09Patient: Diane Pruitt

Also known as: Brain bleed

Cardiac arrestDeath

15-year-old boxer develops massive intracranial hemorrhage from ruptured cerebral artery during a boxing match. The hemorrhage was caused by Ephedra supplement use raising his blood pressure. Despite attempts at neuroradiological intervention, he arrests and dies, creating emotional conflict between his father and brother.

ER — S08E09Patient: Rudy Escalona

Also known as: Weak blood vessel in the brain

Arterial ruptureIntracranial hemorrhage

Underlying arterial wall weakness that predisposed Rudy to hemorrhage. Greene explains to the family that this pre-existing condition could have ruptured at any time, not just from the boxing match trauma.

ER — S08E09Patient: Rudy Escalona
Semen allergysupporting

Also known as: Sperm allergy

UrticariaAnaphylaxis risk

Honeymoon couple presents with recurrent hives in the wife after stopping condom use. Carter diagnoses seminal plasma hypersensitivity, a rare allergic reaction to proteins in semen. The couple is advised to use artificial insemination with washed sperm.

ER — S08E09Patient: Mrs. Urman

Also known as: Head laceration

Loss of consciousnessAltered mental status

Initial presentation after boxing match with loss of consciousness and altered mental status from blunt head trauma, which ultimately led to discovery of the intracranial hemorrhage.

ER — S08E09Patient: Rudy Escalona

Also known as: Wrist dislocation

Patient requiring morphine for a severe wrist dislocation injury. Mentioned briefly as Carter orders pain medication.

ER — S08E09Patient: Bovard

Also known as: Rectal abscess

Patient in Exam 4 with perirectal abscess requiring surgical consultation. Romano insists it needs surgery rather than ER drainage.

Oral lacerationsupporting

Also known as: Cut inside the mouth

Rudy's older brother Jorge sustains a 2cm laceration on the labial mucosa from the boxing match, requiring suturing with 4-0 Vicryl.

ER — S08E09Patient: Jorge

Also known as: Hand fracture from punching

Jorge fractures his fifth metacarpal after punching the wall in grief and anger following his brother's death. Requires casting for six weeks.

ER — S08E09Patient: Jorge
Ankle fracturesupporting

Also known as: Broken ankle

16-year-old male presents after falling from a post while stealing street signs. Has obvious ankle fracture with intact pulses. Patient is Rachel Greene's friend who gave her a ride.

ER — S08E09Patient: Andrew

Also known as: GI bleed

Patient in Exam 4 develops hematemesis requiring evaluation by Kovac. Brief mention as he returns from dealing with Nicole.

Also known as: Blocked intestine

Carter's patient with intestinal obstruction that Abby nearly discharged due to unclear orders. Brief mention highlighting documentation issues.

Also known as: Depression

Pathologic grieving

Benton's sister Jackie is revealed to be under psychiatric care with medication for depression and pathologic grieving following her son Jesse's gang-related death. This is used against Benton in court to question the stability of Reece's primary caregiver.

ER — S08E09Patient: Jackie Benton
Recurring storyline