TvDx
ER

ERNBC

Season 9, Episode 17

8 medical diagnoses portrayed

Watch on Amazon

Also known as: Sexually transmitted infection

Anaphylaxis to penicillin treatment

Alderman Bright has untreated syphilis and attempts to get his lover Keith Mitchell secretly treated by Dr. Weaver, leading to Keith's fatal anaphylactic reaction to penicillin. This drives the central ethical conflict of the episode.

ER — S09E17Patient: Alderman Jonathan Bright

Also known as: Severe allergic reaction

Airway edemaGastric perforationSepsisDeath

Keith Mitchell suffers severe anaphylaxis after taking borrowed penicillin for syphilis without knowing he was allergic. This leads to intubation complications, gastric perforation, and ultimately his death, forming the episode's tragic centerpiece.

ER — S09E17Patient: Keith Mitchell

Also known as: Perforated stomach

PeritonitisSepsisHypotension

Keith develops a gastric perforation as a complication of aggressive bag-mask ventilation during his anaphylactic crisis, contributing to his deterioration and death.

ER — S09E17Patient: Keith Mitchell

Also known as: Bleeding behind the eye

Risk of permanent blindness

Teenage patient Molly presents with facial trauma from alleged assault at a behavioral boot camp. She develops a retrobulbar hematoma requiring emergency drainage to prevent blindness, highlighting themes of family conflict and abuse.

ER — S09E17Patient: Molly

Also known as: Heavy metal poisoning

Hair lossMees' lines on fingernails

Elderly woman presents with multiple symptoms including hair loss and Mees' lines. Investigation reveals elevated arsenic levels, raising suspicion of either suicide attempt or potential homicide by her husband.

ER — S09E17Patient: Mrs. Sanbery
Splenic injurysupporting

Also known as: Ruptured spleen

Intra-abdominal bleedingHypotension

Sikh man shot in a hate crime presents with blunt trauma, fractured ribs, and splenic laceration requiring emergency surgery, representing themes of prejudice and violence.

ER — S09E17Patient: Sikh man

Also known as: Seizure

Recurrent seizures despite treatment

Patient with rule-out MI experiences recurrent seizures requiring lorazepam and Dilantin loading, with evidence of subconjunctival hemorrhage suggesting severe underlying pathology.

Also known as: Earring aspiration

Airway obstructionHypoxia

Pediatric patient aspirates a balloon fragment causing airway obstruction and cyanosis, requiring emergency removal with McGill forceps.

ER — S09E17Patient: Pablo