Also known as: Heart failure
James Anderson presents with shortness of breath due to congestive heart failure exacerbation, requiring aggressive diuresis and eventually dialysis when his kidneys fail. His condition deteriorates to cardiac arrest following a medication error.
Also known as: Kidney failure
James Anderson develops acute kidney injury with anuria (not making urine), requiring urgent dialysis. This becomes a central ethical conflict as he initially refuses treatment before being convinced by his partner.
Also known as: Digoxin overdose
A medication error where digoxin was not recognized on the paramedic sheet leads to iatrogenic digoxin toxicity when calcium is pushed. This causes cardiac arrest with ventricular fibrillation and drives the episode's central conflict about medical error and end-of-life decisions.
Also known as: Ruptured spleen
An alcoholic patient with distant trauma history presents with shoulder pain and hypotension, diagnosed with delayed splenic rupture requiring emergency splenectomy. Diagnosed via Kehr's sign.
Also known as: Gallbladder inflammation
Patient diagnosed with cholecystitis via ultrasound, requiring antibiotics and surgical referral. Mentioned briefly as part of Gates' efficient patient management.
Also known as: Wrist fracture
Patient with scaphoid fracture requiring thumb spica splint and orthopedic clinic follow-up. Brief case demonstrating Gates' efficient workflow.
Patient requiring rheumatology consultation for polymyositis. Used to illustrate Gates' poor charting habits when Pratt reprimands him for incomplete documentation.