TvDx
ER

ERNBC

Season 9, Episode 8

7 medical diagnoses portrayed

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Also known as: Manic depression

Non-compliance with medicationMilitary AWOL

Eric Wyczenski (Abby's brother) went AWOL from the Air Force while experiencing a manic episode. He is arrested and faces military court martial. The episode focuses on Abby and her mother traveling to Nebraska to intervene and advocate for medical discharge rather than criminal prosecution. Eric is started on Depakote and Zyprexa but resists accepting his diagnosis.

ER — S09E08Patient: Eric Wyczenski
Recurring storyline

Also known as: Head trauma

Brain deathCerebral edema

Young boy struck by drunk driver while making a snowman. He sustained massive brain trauma with diffuse cerebral edema, intraparenchymal bleeding, and complete effacement of ventricles, resulting in brain death. He becomes an organ donor for his brother.

ER — S09E08Patient: Toby

Also known as: Heart attack

Cardiogenic shockIrreversible ischemic damage to left ventricle

Young boy struck by drunk driver, sustaining a rib fracture that lacerated his left anterior descending coronary artery, causing massive MI with troponin of 32 and severely diminished lung compliance. He requires emergent heart-lung transplant from his brain-dead brother.

ER — S09E08Patient: Matt

Also known as: Multiple broken ribs on both sides

Pulmonary contusionHemorrhagic shock

Mother who jumped in front of her son to protect him from the drunk driver's truck. She sustained flail chest with shattered ribs bilaterally, massive hemothorax requiring bilateral chest tubes, and went into cardiac arrest requiring emergency thoracotomy and aortic cross-clamping.

ER — S09E08Patient: Mother (unnamed)
Hemothoraxsupporting

Also known as: Blood in chest cavity

Hilar injury with pulmonary artery and vein lacerationHemorrhagic shock

Mother sustained bilateral massive hemothorax with at least 2 liters of blood in the right chest from torn pulmonary vessels, requiring emergency thoracotomy and vascular repair.

ER — S09E08Patient: Mother (unnamed)

Also known as: Parkinson's

Disease progression with bilateral symptoms

Medical student Nathan shows progression of his Parkinson's disease with new tremor on the left side (previously only right-sided). He is on Sinemet and discusses with Dr. Corday whether to continue his medical career given his worsening symptoms.

ER — S09E08Patient: Paul Nathan
Recurring storyline
Otitis externasupporting

Also known as: Outer ear infection

Young girl presenting with vomiting and fever, initially suspected appendicitis. Nathan diagnoses ear infection caused by cotton swab use that removed protective wax from ear canal.

ER — S09E08Patient: Kiley