TvDx
ER

ERNBC

Season 13, Episode 12

8 medical diagnoses portrayed

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Also known as: GI bleed

Hemorrhagic shockPulmonary edema from transfusionCardiac arrestDeath

Patient presents with hematemesis and hypotension. Initially stable but deteriorates with massive transfusion causing pulmonary edema and ultimately cardiac arrest and death. Case drives discussion about church clinic providing medications illegally.

ER — S13E12Patient: Edgar Dixon

Also known as: Bone infection

CellulitisProgression requiring below-knee amputationIntraoperative anaphylaxis

Katrina survivor with diabetic foot infection progressing to osteomyelitis of second and third toes. Initially consented for toe amputation but infection found more extensive during surgery requiring below-knee amputation. Develops anaphylaxis to antibiotics intraoperatively.

ER — S13E12Patient: Yvonne Davillere

Also known as: Diabetes

Peripheral vascular diseaseOsteomyelitisImpaired wound healing

Underlying condition contributing to patient's foot infection and poor healing. Glucose measured at 295. Diabetes causes decreased blood supply to extremities making infection difficult to treat.

ER — S13E12Patient: Yvonne Davillere

Also known as: Severe allergic reaction

HypotensionHypoxiaRespiratory distress

Patient develops intraoperative anaphylaxis likely to penicillin-based antibiotic during toe amputation surgery. Treated with IV epinephrine by Dr. Weaver in controversial OR intervention.

ER — S13E12Patient: Yvonne Davillere
Abdominal compartment syndromeThird-spacingCardiac arrest

39-year-old with chronic pancreatitis from gallstones develops acute exacerbation. Progresses to abdominal compartment syndrome causing cardiac arrest. Successfully treated with emergency decompressive laparotomy.

ER — S13E12Patient: Nelson Wilcox

Also known as: Pressure buildup in the belly

Cardiac arrestVentricular tachycardiaRespiratory failure

Secondary to acute pancreatitis. Elevated abdominal pressure compresses vena cava and lungs leading to cardiac arrest. Dr. Kovac performs emergency decompressive laparotomy during resuscitation.

ER — S13E12Patient: Nelson Wilcox
Cellulitissupporting

Also known as: Skin infection

Surrounding cellulitis noted at base of second toe associated with underlying osteomyelitis in diabetic patient.

ER — S13E12Patient: Yvonne Davillere

Also known as: Stomach ulcer

Suspected cause of upper GI bleed in patient taking NSAIDs for arthritis. Patient was on arthritis medication that can cause ulcers.

ER — S13E12Patient: Edgar Dixon