TvDx
ER

ERNBC

Season 13, Episode 20

10 medical diagnoses portrayed

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Also known as: Ovarian cancer

AscitesMetastases to liver, lungs, and bonesAnemiaCoagulopathyPlatelet transfusion reaction

Diana is a photographer with end-stage metastatic ovarian cancer who came to the ER for syncope. She is DNR and wants to fly to Costa Rica but develops complications from ascites and a platelet transfusion reaction. The episode centers on her desire to die on her own terms versus accepting hospital care.

ER — S13E20Patient: Diana Moore
Syncopesupporting

Also known as: Fainting

Diana's presenting complaint on arrival to the ER, likely related to her advanced cancer and dehydration.

ER — S13E20Patient: Diana Moore
Ascitesmajor

Also known as: Abdominal fluid buildup

Respiratory compromiseIntravascular depletion

Diana has severe ascites from her metastatic ovarian cancer causing respiratory distress. The team performs a paracentesis to drain the fluid, which leads to complications.

ER — S13E20Patient: Diana Moore

Also known as: Dislocated shoulder

A patient dressed as an Intergalactic Rebel Warrior at a sci-fi convention was assaulted with a baseball bat, resulting in an anterior shoulder dislocation. This case becomes the center of conflict when Gates reduces it without sedation against Morris's orders.

Ulnar fracturesupporting

Also known as: Broken forearm

The same sci-fi convention patient also sustained a nightstick fracture of the left ulna from the baseball bat assault.

Pulmonary hemorrhageSevere hypoxiaAnemia

A 14-year-old boy with sickle cell disease presents with altered mental status and respiratory distress. Initially thought to be poisoning, it is revealed he has acute chest syndrome causing pulmonary hemorrhage and severe hypoxia requiring intubation.

ER — S13E20Patient: Demitri

Also known as: Sickle cell

Acute chest syndrome

Demitri's underlying diagnosis that leads to his acute chest syndrome. The condition drives the major patient case in the episode.

ER — S13E20Patient: Demitri

Also known as: Alcohol poisoning

Respiratory depressionAltered mental status

Dr. Pratt's brother is brought to the ER after consuming 15 shots of tequila on his first day as a paramedic. He develops respiratory depression requiring aggressive airway management.

ER — S13E20Patient: Chaz Pratt

Also known as: Shared delusion

Self-harm

A patient who believes aliens implanted a tracking chip in her leg cuts herself trying to remove it. She requires a psychiatric hold.

Also known as: DKA

A patient mentioned in passing who is being treated for diabetic ketoacidosis with improving ketones.