TvDx
ER

ERNBC

Season 10, Episode 4

9 medical diagnoses portrayed

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Also known as: Broken leg bone with skin break

Risk of osteomyelitis

Motorcycle accident victim with exposed bone requiring surgical washout and internal fixation. Delays in orthopedic consultation drive significant conflict throughout the episode.

ER — S10E04Patient: Rick Mathers
Crohn diseasesupporting

Also known as: Crohn's disease

Intractable abdominal pain

Patient seeking admission for pain control is revealed to be a frequent drug-seeker, creating conflict when the GI consultant refuses admission and exposes her pattern.

ER — S10E04Patient: Betsy Wimbel

Also known as: Breathing failure

Elderly woman with end-stage emphysema and possible DNR status arrives in respiratory distress, creating ethical tension about resuscitation while awaiting confirmation from family.

ER — S10E04Patient: Winnie Crawford

Also known as: Quarter stuck in throat

Aorto-esophageal fistula

Child with swallowed quarter that Dr. Pratt removes using a Foley catheter balloon technique, which results in life-threatening arterial bleeding from an aorto-esophageal fistula after discharge.

ER — S10E04Patient: Damian

Also known as: Torn artery in neck

Transient aphasiaCerebral ischemia

Man presenting with intermittent loss of speech initially attributed to stress is ultimately diagnosed with carotid dissection causing clot formation. Initially misdiagnosed and given placebo, highlighting diagnostic challenges.

ER — S10E04Patient: Ed Gamble
Blunt traumasupporting

Also known as: Hit-and-run injuries

Traumatic brain injuryHemothorax

Street racing motor vehicle accident victim with multiple trauma including skull fracture requiring intubation and neurosurgical intervention.

ER — S10E04Patient: Janie Timmons

Also known as: Broken arm

Street racing accident victim requiring CT evaluation and ultimately developing complications requiring emergent intubation.

ER — S10E04Patient: Mr. Vangoss

Also known as: COPD

Respiratory failure

End-stage emphysema patient on home oxygen presenting with acute respiratory decompensation and DNR status concerns.

ER — S10E04Patient: Winnie Crawford

Also known as: PID

Febrile patient with PID requiring antibiotic treatment and GYN admission, mentioned during Pratt's patient presentations.