Also known as: Blood cancer
Teenage patient who initially presented with flu-like symptoms (fever, myalgias) but was found to have AML with a white blood count of 85,000. This case drives the episode's opening M&M conference where Kovac's errors in management are reviewed. The patient now requires dialysis and remains critically ill.
Also known as: Broken pelvis
Tree trimmer who fell 20 feet from a tree onto a roof, sustaining multiple injuries including pelvic fracture with ASIS tenderness and bleeding requiring interventional radiology embolization of pelvic vessels.
Also known as: Heart attack
93-year-old patient who developed chest pain and shortness of breath during sexual intercourse with his younger wife. He suffers cardiac arrest with V-tach, is resuscitated, and is diagnosed with dilated cardiomyopathy. His wife requests electroejaculation for fertility purposes.
Also known as: Enlarged heart muscle disease
Underlying cardiac condition discovered in the 93-year-old patient post-MI, with poor prognosis and risk of fatal arrhythmia at any time.
Also known as: Kidney infection
18-year-old deaf patient who presented with altered mental status and collapse. Found to have severe bladder infection that spread to kidneys causing sepsis with fever of 103.2 and hypotension. Sexually active but had not sought care for two weeks of dysuria due to fear of parents finding out.
Also known as: Sleep disorder
28-year-old man presenting with three days of insomnia and obsessive thoughts. Reveals he is experiencing pedophilic urges toward his girlfriend's 10-year-old son and carved 'evil' into his forehead. Eventually articulates specific plan to assault the child, leading to psychiatric hold.
Also known as: Pedophilia
Patient's primary psychiatric concern - experiencing unwanted pedophilic urges and distress over his inability to control them. He eventually reveals a specific plan to sexually assault his girlfriend's son, warranting involuntary psychiatric commitment.
Also known as: Pregnancy loss
Kerry Weaver suffers a miscarriage at 14 weeks gestation during her shift. She initially discovers no fetal heartbeat on ultrasound, then develops cramping and bleeding requiring management with possible D&C. She refuses to go upstairs or call her partner Sandy, choosing to manage it privately in the ER.
Also known as: Head laceration
Retired physician struck on head with baseball bat during clinic robbery, with prolonged loss of consciousness. Requires head CT to rule out intracranial injury.
Also known as: High blood sugar
Labs reveal blood sugar of 435 in the retired physician, indicating poorly controlled diabetes requiring urgent management.
Also known as: Knife wound
Pratt's brother-figure who was stabbed in the buttocks and beaten by gang members three hours prior to seeking help. Refuses hospital care due to fear of retaliation.
Also known as: Broken fingers
Fractured fourth and fifth metacarpals sustained during assault, part of multiple injuries from gang beating.
Also known as: Broken rib
Multiple broken ribs from assault, part of polytrauma from gang beating.
Also known as: Head trauma
Historical injury - Leon survived a 9mm gunshot wound to the brain years ago, resulting in a 40-point drop in IQ and ongoing cognitive impairment requiring Pratt's long-term care.
Also known as: Major injuries from car accident
Patient who fell three stories through a skylight, sustaining bilateral pneumothoraces, multiple deep lacerations with active bleeding, and hypotension. Required bilateral chest tubes and massive transfusion but died in trauma bay.
Also known as: ADHD
Mathlete student on Ritalin who becomes hyperactive and disorganized in the ER, erasing the patient board and creating mathematical proofs while under the influence of her ADHD medication taken for the math competition.