TvDx
ER

ERNBC

Season 8, Episode 20

12 medical diagnoses portrayed

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Also known as: Brain cancer

Death

Dr. Mark Greene dies from his brain tumor at 6:04 a.m. in Hawaii. His death is the central emotional event of the episode, with his letter to the ER staff serving as the main narrative device.

ER — S08E20Patient: Mark Greene
Recurring storyline
HemothoraxTumor bleeding into chest cavity

10-year-old girl involved in MVA with an incidentally discovered calcified lung mass. The tumor outgrew its blood supply and bled into her chest cavity, requiring emergency thoracotomy. Romano successfully resects the tumor with clear margins.

ER — S08E20Patient: Melissa

Also known as: Throat injury

Expanding hematomaAirway obstruction

Father of Melissa, sustained throat injury from steering wheel in MVA. Developed large hematoma in front of trachea blocking airway access. Carter performs emergency field tracheostomy after failed fiberoptic intubation attempt.

ER — S08E20Patient: Dan Rue

Also known as: DKA

SepsisAltered mental statusCardiac arrest

Homeless patient and regular of Dr. Greene presents with brittle diabetes, high fever, fluid in lungs, and altered mental status. Blood glucose over 400. Later develops ventricular fibrillation and arrests. Patient refuses further treatment and dies after resuscitation attempt.

ER — S08E20Patient: Mr. Ervin
Recurring storyline
Uremiasupporting

Also known as: Kidney failure

Mr. Ervin has history of dialysis and presents with uremic symptoms contributing to his altered mental status. Part of his multiple medical problems.

ER — S08E20Patient: Mr. Ervin
Recurring storyline

Also known as: V-fib

Cardiac arrest

Mr. Ervin develops ventricular ectopy then v-fib requiring defibrillation. He is briefly resuscitated but then refuses further treatment.

ER — S08E20Patient: Mr. Ervin

Also known as: GSW to the mouth

Airway compromiseBlood aspirationVentricular tachycardia

Patient presents with severe facial trauma from shotgun blast, requiring emergency cricothyroidotomy. Patient is agitated, aspirates blood, and develops v-tach before being successfully stabilized.

Hemothoraxsupporting

Also known as: Blood in chest cavity

10-year-old MVA patient develops hemopneumothorax from bleeding tumor requiring chest tube placement by Romano.

ER — S08E20Patient: Melissa

Also known as: Dislocated shoulder

12-year-old boy injured when car rammed into picnic at Lincoln Park, presents with dislocated shoulder and multiple lacerations.

Also known as: Cat allergy

Child presents with rash, identified as allergic reaction to strawberry consumed before sleep.

Lacerationsupporting

Also known as: Cut

Recurring patient George cuts himself again and refuses to stop picking at sutures despite instructions. Weaver becomes frustrated with his non-compliance.

ER — S08E20Patient: George
Recurring storyline
Corneal burnsupporting

Also known as: Eye burn

Patient presents after putting kerosene in barbecue, causing explosion that singed eyebrow. Carter evaluates for corneal burns.