TvDx
ER

ERNBC

Season 12, Episode 16

9 medical diagnoses portrayed

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Also known as: Meningococcal sepsis

Disseminated intravascular coagulation (DIC)PurpuraSeptic shock

Two teenage girls present with rapidly progressing purpura, fever, headaches, stiff neck, and photophobia after one faints while driving, causing a car accident. The diagnosis triggers hospital-wide prophylaxis protocols due to the highly contagious nature of the disease.

ER — S12E16Patient: Donna Gallagher and Katie-O (Katherine Odachowski)

Also known as: Kidney injury from bus accident

Hemorrhagic shockIntraperitoneal hemorrhage

A jogger is struck by a car that drives onto the sidewalk, sustaining blunt abdominal trauma with internal bleeding requiring emergency surgery.

ER — S12E16Patient: Mr. Highsmith (jogger)
Femur fracturesupporting

Also known as: Broken thigh bone

Hemorrhagic shock

The same jogger patient also presents with a right femur fracture from being hit by the car, requiring splinting and contributing to his hypotensive state.

ER — S12E16Patient: Mr. Highsmith (jogger)

Also known as: Head trauma

HerniationCardiac arrest

A 21-year-old college student is punched during a bar fight over basketball, hits his head on a table, and develops severe brain injury with signs of herniation (hypertension, bradycardia, hypoventilation), requiring emergent intubation and CT scan. He goes into ventricular tachycardia and requires defibrillation.

ER — S12E16Patient: James Bucci

Also known as: Blood cancer

Severe anemiaSyncope

A wealthy patient with known myelodysplastic syndrome presents after passing out in a car. He requires frequent blood transfusions and nightly iron chelation therapy five times per week to manage his condition.

ER — S12E16Patient: Mr. Elliot

Also known as: Skull base fracture

A patient who tripped over a double stroller in a coffee shop presents with a basal skull fracture requiring observation and staples for an associated scalp laceration.

ER — S12E16Patient: Mr. Gauthier

Also known as: Severe hip arthritis

Chronic painMobility limitations

Kerry has advanced hip degeneration with a flapping piece of cartilage causing severe pain and functional limitations. After canceling surgery three times, she finally proceeds with total hip replacement at episode's end, grappling with her identity as a disabled person and fear of losing her crutch.

ER — S12E16Patient: Kerry Weaver
Recurring storyline

Also known as: Scratched cornea

The teenage passenger in the car accident presents with photophobia and suspected corneal abrasion from airbag deployment, requiring slit lamp examination.

ER — S12E16Patient: Katie-O (Katherine Odachowski)
Cellulitissupporting

Also known as: Skin infection

A patient who wears excessive jewelry ('over-golding') presents with infected erosions on his neck from his heavy chains cutting into his skin.

ER — S12E16Patient: Mr. Lemoyne