TvDx
ER

ERNBC

Season 9, Episode 12

10 medical diagnoses portrayed

Watch on Amazon

Also known as: Ruptured spleen

Hemorrhagic shockIntraperitoneal bleeding

Tom Callahan presents with intraperitoneal bleeding following a motor vehicle accident. The trauma team identifies the splenic rupture requiring emergency surgical intervention, though his surgery is delayed while he stays with his dying wife.

ER — S09E12Patient: Tom Callahan

Also known as: Collapsed lung

HypotensionCardiac arrest

Jessie Callahan, involved in a high-speed motor vehicle collision with her husband, develops a tension pneumothorax that causes her to crash in the CT scanner. Despite emergency thoracostomy, she suffers irreversible brain damage and is pronounced dead, though she later shows cardiac activity creating an ethical dilemma.

ER — S09E12Patient: Jessie Callahan

Also known as: Shock from blood loss

Cardiac arrestAnoxic brain injury

Jessie develops severe hypovolemic shock from internal bleeding following her motor vehicle accident, requiring rapid transfusion and leading to cardiac arrest and eventual brain death.

ER — S09E12Patient: Jessie Callahan

Also known as: Brain damage from lack of oxygen

Brain deathFixed and dilated pupils

Following prolonged cardiac arrest and resuscitation attempts, Jessie suffers irreversible anoxic brain injury with dilated pupils, leading to the emotional decision about end-of-life care while her husband watches.

ER — S09E12Patient: Jessie Callahan

Also known as: Lung infection

Respiratory failureSepsisHemoptysis

Mrs. Hawkes presents with severe pneumonia with complete consolidation of her right lobe, elevated white count, and gram-negative rods in sputum. Her condition rapidly deteriorates requiring intubation, creating a crisis as she is a single mother whose estranged drug-using son must decide whether to care for her other children.

ER — S09E12Patient: Mrs. Hawkes
Syphilissupporting

Also known as: Sexually transmitted infection

During examination of the alderman's injuries from a fall, Dr. Lewis discovers a penile lesion consistent with syphilis. This creates an ethical dilemma when the alderman requests his medical records be altered to protect his political career, and Dr. Weaver ultimately complies by mislabeling the specimen.

ER — S09E12Patient: Alderman John Bright

Also known as: Bleeding in the knee joint

The alderman's fall from a stage results in hemarthrosis of his knee requiring drainage, part of his overall trauma evaluation as a VIP patient in the ER.

ER — S09E12Patient: Alderman John Bright
Colles fracturesupporting

Also known as: Broken wrist

A 9-year-old boy presents with a wrist fracture after allegedly falling from a bunk bed. X-rays reveal multiple old fractures, initially raising suspicion for child abuse, though it is ultimately revealed the child has been intentionally injuring himself to spend time with his father.

ER — S09E12Patient: David Scott

Also known as: Head laceration

Altered mental status

David presents with altered mental status after his fall, requiring head CT to rule out intracranial bleeding as part of his trauma workup.

ER — S09E12Patient: David Scott

Also known as: Type 2 diabetes

HyperglycemiaDehydration

Dr. McNulty's poorly controlled diabetes is revealed with a blood sugar of 435, prompting Carter to bring him medication. This subplot highlights McNulty's dedication to his clinic patients at the expense of his own health.

ER — S09E12Patient: Dr. McNulty
Recurring storyline