TvDx
ER

ERNBC

Season 10, Episode 12

14 medical diagnoses portrayed

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Also known as: Narrowing of the aorta

Metabolic acidosisShockHeart failureNecrotizing enterocolitis

Four-day-old full-term infant presents with weak femoral pulses, systolic murmur, and distress while feeding. Diagnosed with critical coarctation of the aorta requiring cardiac catheterization with stenting, later develops sepsis and necrotizing enterocolitis requiring surgery.

ER — S10E12Patient: Jacob Kolber (Jake)

Also known as: NEC

Bowel perforationFree air under diaphragmBowel infarction

Patient develops necrotizing enterocolitis as a complication of his cardiac condition and sepsis, resulting in complete bowel necrosis that proves fatal during surgical intervention.

ER — S10E12Patient: Jacob Kolber (Jake)
Sepsismajor

Also known as: Blood infection

Respiratory failureHemodynamic instability

Infant develops rapid-onset sepsis with apnea and hemodynamic compromise requiring reintubation and vasopressor support, contributing to subsequent bowel ischemia.

ER — S10E12Patient: Jacob Kolber (Jake)

Also known as: Brain bleed

SeizuresHydrocephalus

Premature twin develops massive intraventricular hemorrhage as a complication of ECMO therapy, resulting in seizures, hydrocephalus, and severe neurological devastation. Parents abandon her and return to China.

ER — S10E12Patient: Inga Tseng

Also known as: Lung infection

Metabolic acidosisHypoxemiaRespiratory failure

Premature twin develops severe pneumonia with worsening acidosis and hypoxemia requiring ECMO (extracorporeal membrane oxygenation) support, which leads to catastrophic brain hemorrhage.

ER — S10E12Patient: Inga Tseng
Prematuritysupporting

Also known as: Premature birth

Twins born at 32 weeks gestation without prenatal care to visiting parents from China. One twin does well while the other develops multiple complications.

ER — S10E12Patient: Dirk and Inga Tseng (twins)

Also known as: RDS, immature lungs

Ex-33-week premature infant with history of respiratory distress syndrome, currently on antibiotics for MRSA infection on day 58 of life.

ER — S10E12Patient: Humphrey Fowler

Three-month-old infant with severe hypoxic brain injury resulting in devastating neurological damage. Family is in the process of withdrawing life support after two months in the NICU.

ER — S10E12Patient: Owen Miller

Also known as: Newborn heroin withdrawal

Ex-38-week infant born to mother who used methamphetamine and heroin during pregnancy, undergoing morphine taper for withdrawal symptoms.

ER — S10E12Patient: Lloyd Roberts (Thor)

Also known as: TTN

Delayed clearance of fetal lung fluid in newborn requiring oxygen support, resolving with supportive care.

ER — S10E12Patient: Lloyd Roberts (Thor)

Also known as: CCAM

Infant born with congenital lung malformation requiring surgical repair on day 46 of life, currently weaning from ventilator support.

Also known as: Uterine infection

Maternal infection during labor requiring antibiotics for newborn Henry due to suspected chorioamnionitis and prolonged rupture of membranes.

ER — S10E12Patient: Sandy Lopez (partner of Kerry Weaver)

Also known as: Low blood sugar in newborn

Infant born to diabetic mother at 35 weeks requiring NICU admission for glucose monitoring due to risk of hypoglycemia.

ER — S10E12Patient: Daphne

Also known as: MRSA

Premature infant on day 19 of 21-day vancomycin treatment course for MRSA infection.

ER — S10E12Patient: Humphrey Fowler