TvDx
ER

ERNBC

Season 9, Episode 5

13 medical diagnoses portrayed

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Also known as: Smoke inhalation

HypoxiaPneumothoraxRespiratory distress

Multiple patients from an apartment fire present with smoke inhalation requiring intubation and ventilatory support. Amy requires fiberoptic intubation due to severe airway burns with melted rubber mask fused to face.

ER — S09E05Patient: Amy

Also known as: Third-degree burn

Myocardial dysfunctionRhabdomyolysisHyperkalemiaVentricular tachycardia

Multiple fire victims with varying degrees of burns. Ed Jemena has full-thickness burns to hands and forearms. One patient has 80% body surface area burns with crush injury leading to rhabdomyolysis and cardiac arrest.

ER — S09E05Patient: Ed Jemena and others

Also known as: Flesh-eating bacteria

MyonecrosisSeptic shockAbove-knee amputation

Young male patient develops rapidly spreading necrotizing fasciitis from a minor bug bite, requiring emergency surgical debridement. Despite attempts to save the leg, Romano ultimately performs above-knee amputation due to extensive tissue necrosis.

HemochromatosisBone damageNeurological damageMental retardationBlindness

Newborn presents with hypoxia after home birth and is diagnosed with sialidosis, a rare lysosomal storage disease. Mother learns infant will be mentally retarded, blind, and have life expectancy under 2 years. Baby later develops sepsis and dies after mother signs DNR.

ER — S09E05Patient: Baby boy (Simone's son)

Also known as: Bleeding after delivery

Hemorrhagic shock

Mother experiences significant blood loss after home birth due to retained placenta, requiring emergency intervention and blood transfusion.

ER — S09E05Patient: Simone Phillip

Also known as: Rhabdo

HyperkalemiaVentricular tachycardiaRenal failure requiring dialysis

Fire victim with crushed pelvis develops rhabdomyolysis leading to severe hyperkalemia (K 8.2) and ventricular tachycardia requiring aggressive resuscitation and dialysis.

Also known as: Parkinson's

Dyskinesia from medication

New medical student Paul Nathan has Parkinson's disease diagnosed 8 years prior. He experiences dyskinesia from increased medication to prevent freezing episodes, creating concerns about his ability to complete surgical rotation.

ER — S09E05Patient: Paul Nathan
Recurring storyline
Cellulitissupporting

Also known as: Skin infection

Progression to necrotizing fasciitis

Patient initially presents with cellulitis from bug bite that rapidly progresses to necrotizing fasciitis, demonstrating the critical importance of recognizing early warning signs.

Corneal burnsupporting

Also known as: Eye burn

Fire victim in jungle costume presents with potential corneal burn requiring slit lamp examination.

ER — S09E05Patient: Terry
Priapismsupporting

Also known as: Prolonged erection

Patient presents with priapism after ingesting mandrake smoothie, requiring phenylephrine injection to resolve prolonged erection.

ER — S09E05Patient: Woody
PriapismAltered mental statusAggressive behavior

Patient develops toxicity after drinking mandrake smoothie, presenting with priapism and inappropriate sexual behavior requiring sedation and supportive care.

ER — S09E05Patient: Woody
Neonatal sepsissupporting

Also known as: Blood infection in newborn

FeverOrgan failure

Newborn with sialidosis develops secondary bacterial infection with fever to 102, requiring antibiotics before ultimately dying after DNR signed.

ER — S09E05Patient: Baby with sialidosis

Also known as: Arm nerve injury

Loss of hand functionDecreased range of motion

Romano continues rehabilitation from his arm injury with only 10 degrees wrist flexion remaining and 20% chance of full recovery, threatening his surgical career.

ER — S09E05Patient: Robert Romano
Recurring storyline