Also known as: Bleeding vessels in throat
Charlie Metcalf, an ex-convict with end-stage liver disease from chronic alcoholism, presents with life-threatening bleeding from esophageal varices. The episode centers on his medical crisis and ultimate decision to refuse further treatment, dying with his estranged son at his bedside.
Also known as: Liver scarring
Charlie has advanced cirrhosis from chronic alcohol abuse, with physical signs including spider angiomas, palmar erythema, ascites, and splenomegaly. His liver failure is the underlying cause of his fatal bleeding and kidney failure.
Also known as: Kidney failure from liver disease
Charlie develops acute kidney failure as a complication of his liver cirrhosis, with elevated BUN and creatinine requiring dialysis, which he ultimately refuses.
Also known as: Low blood count
Charlie presents with severe anemia (hemoglobin 7.2) from acute blood loss due to variceal hemorrhage, requiring multiple blood transfusions.
Also known as: Alcohol withdrawal
Charlie develops tremors from alcohol withdrawal during treatment, requiring an alcohol drip for symptom management.
Also known as: Cuts
An 11-year-old boy presents with multiple lacerations and possible tendon damage after a television fell on him while home alone with his sister.
Also known as: GSW to abdomen
A patient presents with a periumbilical gunshot wound with intestinal prolapse requiring emergency surgical intervention.