TvDx
ER

ERNBC

Season 12, Episode 1

10 medical diagnoses portrayed

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Also known as: DKA

ComaSevere dehydration

Alex, a 12-year-old diabetic who ran away from home, develops DKA after being off his insulin for two days. He is found lethargic with a glucose of 375 in Colorado, creating the central crisis of the episode as his mother Sam desperately searches for him.

ER — S12E01Patient: Alex Taggart
Recurring storyline

Also known as: Antifreeze poisoning

A 19-year-old patient who drank a gallon of antifreeze is being treated with fomepizole. The case is used as a teaching example about alcohol dehydrogenase inhibitors and serves as a recurring board patient throughout the episode.

Also known as: Scratched cornea

Patient with a shard of glass under the eyelid from sanding his boat without eye protection, requiring fluorescein exam and slit-lamp evaluation.

Splenic injurysupporting

Also known as: Ruptured spleen

Intraabdominal hemorrhage

Motor vehicle collision patient with altered mental status requiring intubation, found to have positive FAST exam indicating splenic injury requiring exploratory laparotomy. Used to illustrate Ray's teaching struggles.

Pneumothoraxsupporting

Also known as: Collapsed lung

Stab wound to right chest requiring chest tube insertion. Used as Teddy Marsh's first trauma case as an intern, during which he struggles with the procedure.

Also known as: Brain bleed

Patient requiring neurosurgical consultation and ICU admission during Neela's busy night shift.

Deltoid abscesssupporting
Endocarditis

A 37-year-old IV drug user with a deltoid abscess requiring incision and drainage. The intern misses a significant heart murmur, and Neela identifies possible endocarditis requiring antibiotics and echocardiogram before the procedure.

ER — S12E01Patient: Mr. Kingsley

Also known as: Asthma medication overdose

Premature ventricular contractions

COPD patient with toxic theophylline level of 53 causing cardiac arrhythmias (PVCs) after taking extra pills. Requires stabilization with lidocaine before bronchodilator therapy.

ER — S12E01Patient: Mr. Canberra
Hydrocephalussupporting

Also known as: Water on the brain

Shunt obstruction

A 22-year-old with spina bifida presenting for evaluation of possible shunt obstruction, a common ER complaint for patients with myelomeningocele. Used as a teaching case about congenital neurologic deficits.

Nephrolithiasissupporting

Also known as: Kidney stones

Patient with abdominal pain diagnosed with kidney stone by Abby, who demonstrates efficient clinical assessment and appropriate pain management with Toradol and morphine.

ER — S12E01Patient: George