Also known as: Copper accumulation disorder
Helen, a teenage driver involved in a car accident that killed one student and injured others, is diagnosed with Wilson's disease after Kayser-Fleischer rings are discovered on exam. The disease causes copper accumulation in the liver and brain, leading to jerky movements and behavioral changes. The diagnosis raises questions about whether her accident was truly unintentional or if she deliberately targeted classmates who bullied her.
Also known as: Kidney injury from bus accident
17-year-old pedestrian struck by Helen's car, presenting with abdominal pain, facial fractures including a LeFort III fracture, and pneumothorax. Requires emergency exploratory laparotomy.
Also known as: Broken thighbones
16-year-old pedestrian hit in the school accident with bilateral femur fractures. Treated with orthopedic consultation and antibiotics.
Also known as: Heart stopped
Student crushed between a car and wall in the accident, arriving in full cardiac arrest. Despite resuscitation attempts including thoracotomy consideration, she is pronounced dead.
Also known as: Stab wound
Mother of two assaulted by a client while working as a prostitute, presenting with an abdominal stab wound. The injury is superficial with intact deep fascia, requiring only irrigation and wound care. Her case triggers a social services investigation when it's revealed she leaves her minor children home alone at night.
Also known as: Blood infection
94-year-old woman with altered mental status, hypotension, and kidney infection progressing to septic shock. Develops pulmonary edema from fluid resuscitation and ultimately codes, requiring intubation despite having requested a DNR.
Also known as: Testicular cancer
Patient with stage 3C testicular cancer presenting with a clotted PICC line and severe neutropenia following chemotherapy. Treated with streptokinase for the clot and Neupogen for low white blood cell count.
Also known as: Facial fracture
LeFort III fracture (complete craniofacial separation) identified in the 17-year-old car accident victim, requiring ENT consultation.
Also known as: Collapsed lung
Collapsed lung in the car accident victim requiring chest tube placement.
Also known as: Broken ankle
The driver in the accident sustains an ankle fracture requiring splinting.