Also known as: Manic depression
Mrs. Garrison is brought to the ER agitated and violent, having bitten Dr. Kovac. She is off her psychiatric medications and requires Haldol for acute management before being admitted to stabilize her on medication.
Also known as: Dislocated elbow
Male passenger in an MVA presents with closed deformity of the right elbow with absent radial pulse. Dr. Pratt successfully reduces the dislocation under sedation, restoring circulation.
Also known as: Ruptured spleen
Female driver in an MVA presents with hypotension, tachycardia, and periumbilical ecchymosis. Ultrasound shows free fluid in Morrison's pouch. She requires emergency splenectomy for hemorrhage control. Patient has prior connection to Dr. Pratt, adding emotional complexity.
Also known as: V-tach
Young woman with known tetralogy of Fallot (repaired) on amiodarone presents with flu-like symptoms and skin discoloration. She collapses into pulseless V-tach requiring defibrillation. Labs reveal zero amiodarone level, indicating medication non-compliance, likely due to the medication's side effect of blue skin discoloration that leads to social stigma.
Also known as: TOF
Patient has history of tetralogy of Fallot surgically repaired in 1975, now requiring chronic antiarrhythmic therapy. This underlying congenital heart condition predisposes her to life-threatening arrhythmias.
Also known as: Functional neurological symptom disorder
Young mother presents with syncope and seizure-like episodes. EEG shows no epileptic activity despite witnessed episodes, confirming pseudo-seizures. The team suspects conversion disorder possibly related to postpartum depression or psychosocial stressors. She refuses psychiatric evaluation and attempts to leave AMA.
Also known as: Muscle strain
Woman presents with back pain. Dr. Pratt performs a thorough exam including controversial breast examination due to bony tenderness and lymphadenopathy findings, concerned about possible malignancy. Patient ultimately diagnosed with muscle strain, but the encounter leads to sexual harassment allegations against Dr. Pratt.