TvDx
ER

ERNBC

Season 12, Episode 18

10 medical diagnoses portrayed

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Also known as: Head injury

A 17-year-old deaf patient involved in a high-speed car accident while trying to get an unconscious girl to the hospital. Initially suspected of carjacking and treated for head injury with combative behavior that was misinterpreted as drug-related.

ER — S12E18Patient: Deshawn Liberty

Also known as: Broken jaw

Non-displaced jaw fracture sustained during the car accident or altercation with police, complicating communication with the deaf patient.

ER — S12E18Patient: Deshawn Liberty

Also known as: Boxer's fracture

Hand fracture sustained during the incident, further complicating the patient's ability to communicate through sign language.

ER — S12E18Patient: Deshawn Liberty

Also known as: Stopped breathing

Masseter spasmHypoxia

A teenage girl found unresponsive in a car accident who stopped breathing. Her respiratory arrest was complicated by severe masseter muscle spasm from succinylcholine administration, requiring alternative paralytic and ultimately treated with Pavulon.

ER — S12E18Patient: Brook Sawyer

Also known as: Seizure

Elevated intracranial pressureHypertension

Patient experienced continuous seizure activity masked by paralytic medications, presenting as elevated intracranial pressure and severe hypertension. Successfully treated with Ativan and Dilantin once recognized.

ER — S12E18Patient: Brook Sawyer

Also known as: Overdose

Respiratory arrestSeizure disorder

Teenager who took ecstasy and GHB at a party, leading to respiratory arrest and seizures. The diagnosis was critical to proper treatment but delayed due to communication barriers with the deaf companion.

ER — S12E18Patient: Brook Sawyer

Also known as: Blood cancer

Anemia

Sam's employer with ongoing MDS requiring regular chelation therapy and blood transfusions. He becomes acutely anemic during a dinner party but initially refuses treatment.

ER — S12E18Patient: Mr. Elliot
Recurring storyline

Also known as: Leaky heart valve

HypotensionHemodynamic compromise

82-year-old man with porcine heart valve who was assaulted by his girlfriend. The stress-induced hypertension caused acute rupture of his prosthetic valve requiring emergency cardiothoracic surgery.

ER — S12E18Patient: Jim Coker

Also known as: High blood pressure emergency

Valve rupture

Severe hypertension from the stress of being assaulted led to rupture of his prosthetic heart valve, requiring afterload reduction and emergency surgery.

ER — S12E18Patient: Jim Coker
Lacerationsupporting

Also known as: Cut

80-year-old woman who lacerated her hand when the urn she used to assault her boyfriend broke.

ER — S12E18Patient: Fredna Nasse