TvDx
ER

ERNBC

Season 11, Episode 12

8 medical diagnoses portrayed

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Also known as: Kidney failure

HyperkalemiaVentricular fibrillationNeed for dialysisNeed for kidney transplant

16-year-old girl with prior kidney transplant develops acute renal failure attributed to drug toxicity from Zarictal (anti-seizure medication). This drives the central conflict of the episode regarding pharmaceutical safety and informed consent.

ER — S11E12Patient: Katie Milner

Also known as: High potassium

BradycardiaWidened QRS complexVentricular fibrillationCardiac arrest

Elevated potassium levels secondary to renal failure cause life-threatening cardiac arrhythmias requiring immediate resuscitation and dialysis.

ER — S11E12Patient: Katie Milner

Also known as: PKD

Cerebral aneurysmEnd-stage renal disease requiring transplant

The underlying genetic condition that led to Katie's initial kidney failure and need for transplant from her father.

ER — S11E12Patient: Katie Milner

Also known as: Seizure

Cerebral aneurysm from polycystic kidney disease

Secondary to cerebral aneurysm from PKD; patient was switched to Zarictal for better seizure control, which led to the renal failure.

ER — S11E12Patient: Katie Milner

Also known as: Pelvic fracture

Patient sustained isolated pubic ramus fracture during sexual intercourse in a car, treated conservatively with rest and pain management.

ER — S11E12Patient: Rodney Dixon

Also known as: Head trauma

Brain death

Katie's father sustains a self-inflicted gunshot wound to the head resulting in brain death; he becomes an organ donor for his daughter's kidney transplant.

ER — S11E12Patient: Gabriel Milner

Also known as: Shock from blood loss

BradycardiaHypotension

Patient who fell from roof while taking down Christmas lights develops intra-abdominal bleeding requiring emergent femoral vein central access and resuscitation.

Pneumothoraxsupporting

Also known as: Collapsed lung

Patient requiring chest tube placement for pneumothorax, used as teaching case for medical student Ray.