Also known as: Too much serotonin from medication overdose
Patient with brain injury and recent MAOI (phenelzine) prescription receives Demerol for femur fracture pain, causing fatal serotonin syndrome with hyperthermia, seizures, and eventual cardiac arrest. This drives the episode's central medical error storyline involving Neela falsifying records.
Also known as: Broken thigh bone
MVA patient presents with deformed upper right leg and femur fracture requiring pain management, which leads to the fatal drug interaction.
Also known as: Head trauma
Patient has pre-existing brain injury from December fall causing confusion and altered mental status, complicating his ability to provide accurate medical history.
Also known as: Sickle cell
Four-year-old boy presents with left upper quadrant pain, confusion, and shock from splenic sequestration. Diagnosis reveals genetic testing discrepancy raising paternity questions, creating emotional subplot about father's unconditional acceptance.
Also known as: Blood and air in chest cavity
MVA van driver presents with flail segment and hemopneumothorax requiring chest tube placement and eventual exploratory laparotomy.
Also known as: Hernia in groin
Twenty-year-old with incarcerated inguinal hernia successfully reduced without sedation, demonstrating Neela's growing clinical competence.
Also known as: Diabetes
Twenty-four-year-old presents with polydipsia and blood sugar of 642, diagnosed with new-onset diabetes. Case demonstrates Neela's competent management during her 'shark day.'
Also known as: Asthma attack
Twenty-year-old asthmatic with oxygen saturation of 89% requiring multiple nebulizer treatments and steroids, managed by Neela during her autonomous practice day.
Also known as: Blocked trach
Nursing home patient with history of laryngeal cancer presents with dislodged tracheostomy tube. Neela successfully replaces it independently, showing her procedural competence.