TvDx
ER

ERNBC

Season 13, Episode 5

10 medical diagnoses portrayed

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Also known as: Lung infection

StrokeCentral line thrombosis

Curtis Ames presents with cough and fever, diagnosed with right middle lobe pneumonia requiring IV antibiotics and hospital admission. This case becomes the central focus of a malpractice lawsuit against Dr. Kovac.

ER — S13E05Patient: Curtis Ames

Also known as: Stroke

Left arm paralysisLeft visual field lossDepression

Curtis Ames develops numbness in his left hand that progresses to a full stroke with permanent disability. The stroke is caused by a blood clot that traveled through a patent foramen ovale to his brain, originating from his central line. This is the basis of the malpractice lawsuit.

ER — S13E05Patient: Curtis Ames

Also known as: PFO, hole in the heart

Stroke via paradoxical embolism

A previously undiagnosed congenital heart defect that allowed a blood clot from Ames' central line to travel to his brain, causing his stroke. This becomes a key point in the malpractice trial about whether the murmur should have been detected.

ER — S13E05Patient: Curtis Ames

Also known as: Ruptured triple-A

Patient presents with hypotension and pulsatile abdominal mass, initially suspected to be a ruptured abdominal aortic aneurysm requiring emergency surgery. Later revealed to be tricuspid regurgitation with liver enlargement.

ER — S13E05Patient: Mr. Dolan

Also known as: Leaky heart valve

Right heart failureHepatic steatosis

The actual diagnosis for Mr. Dolan after initial concern for AAA. Heart valve disease caused right-sided heart failure and enlarged pulsatile liver that mimicked an abdominal aneurysm.

ER — S13E05Patient: Mr. Dolan

Also known as: GI bleed

Hemorrhagic shock

Patient with Crohn's disease presents with hematemesis and hematochezia, becomes hypotensive. Treated with novel intra-aortic balloon occlusion to control bleeding before surgery.

ER — S13E05Patient: Mariko Shimane
Crohn diseasesupporting

Also known as: Crohn's disease

Gastrointestinal hemorrhageVascular erosion

Underlying inflammatory bowel disease that caused erosion into a blood vessel resulting in life-threatening GI bleeding requiring surgical intervention.

ER — S13E05Patient: Mariko Shimane

Also known as: Tongue bitten off

Patient presents with partial tongue amputation after his wife bit it off. Treated with reimplantation attempt.

Also known as: Depression

Curtis Ames develops depression following his stroke and disability, mentioned as part of the long-term consequences presented in the malpractice trial.

ER — S13E05Patient: Curtis Ames

Also known as: Blocked intestine

Brief mention that Malucci is admitted as a patient with small bowel obstruction.

ER — S13E05Patient: Dr. Malucci (Mayday)