TvDx
ER

ERNBC

Season 9, Episode 18

10 medical diagnoses portrayed

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Also known as: Kidney cancer

Tumor ruptureIntraperitoneal hemorrhageMetastatic disease

Young pregnant woman presents with syncope and hypotension, found to have aggressive stage IVB renal cell carcinoma with intraperitoneal bleeding. Central ethical conflict over whether to terminate pregnancy to pursue chemotherapy or continue pregnancy and forgo treatment.

ER — S09E18Patient: Debra Strickland

Also known as: Dissociative disorder with false memories

Hit-and-run victim found on roadside creates elaborate false memory of being in car accident with non-existent children. Psychiatry determines he has depression with dissociative disorder causing negative amnesia and fabricated memories.

ER — S09E18Patient: Josh Rushing

Also known as: Complex congenital heart defect

Shunt outgrowthRequires unifocalization and complete repair

Young Croatian patient with complex congenital heart disease requiring specialized surgery that cannot be performed in his home country. Corday and Kovac attempt to arrange pro bono care at County but are denied due to budget constraints.

ER — S09E18Patient: 9-year-old Croatian boy (offscreen)

Also known as: Chemical eye burn

Possible permanent blindnessRuptured globe

Eight-year-old front-seat passenger injured when airbag deployed during single-car MVA, causing severe chemical burns to eyes with possible permanent vision loss.

ER — S09E18Patient: Pilar (8-year-old girl)

Also known as: PID

Young intellectually disabled woman with Down syndrome presents with vaginal discharge, diagnosed with PID from unprotected sexual contact. Case involves suspected sexual abuse by facility caretaker.

ER — S09E18Patient: Mindy

Also known as: Burst aneurysm

Sudden death

Patient initially treated for wrist fracture develops sudden headache and collapses from ruptured cerebral aneurysm, leading to death despite resuscitation attempts. Illustrates how seemingly minor complaints can mask fatal conditions.

ER — S09E18Patient: Sandra Haycox

Also known as: Drug withdrawal

Known drug user presents with shoulder dislocation and rib fractures from fall, exhibits severe pain and agitation from opioid withdrawal. Later found to have obtained drugs and used them in the ER.

ER — S09E18Patient: Nicky Broomer

Also known as: Dislocated shoulder

Patient sustained shoulder dislocation and rib fractures requiring reduction procedure, complicated by withdrawal symptoms.

ER — S09E18Patient: Nicky Broomer
Pneumothoraxsupporting

Also known as: Collapsed lung

Hit-and-run victim develops pneumothorax treated with Heimlich valve to allow him to remain in ER while police search for his fabricated family.

ER — S09E18Patient: Josh Rushing

Also known as: Severe morning sickness

Patient's initial presenting symptom of severe pregnancy-related nausea and vomiting contributing to weakness and syncope that led to discovery of her cancer.

ER — S09E18Patient: Debra Strickland