TvDx
ER

ERNBC

Season 14, Episode 4

7 medical diagnoses portrayed

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Also known as: Head laceration

Abby's toddler son Joe falls from a jungle gym and loses consciousness. He undergoes CT and MRI scans to rule out intracranial bleeding and brain injury, creating major tension as Abby deals with her son being the patient while unable to reach Luka.

ER — S14E04Patient: Joe Kovac

Also known as: Kidney cancer

HemorrhageHemorrhagic shock

Patient initially misdiagnosed by Abby as having a kidney stone actually has a large renal mass that erodes into vessels causing massive hemorrhage. Neela performs emergency angioplasty balloon procedure to stabilize him for surgery. The misdiagnosis adds to Abby's stressful day.

ER — S14E04Patient: Mr. Grant

Also known as: Severe hip arthritis

Chronic painOpioid dependence

Former NFL player with severe bilateral hip arthritis causing debilitating pain and complete loss of joint space. He has been self-medicating with vicodin due to inability to afford surgery. Pratt arranges for him to get bumped up on the County surgery list and provides intra-articular steroid injections for pain relief.

ER — S14E04Patient: Willy Archibald

Also known as: Heroin addiction

Former NFL player has become dependent on vicodin (3-4 pills daily) to manage chronic hip pain, obtaining prescriptions through his mother's Medicare. Pratt identifies the addiction and makes surgery contingent on entering a pain management program.

ER — S14E04Patient: Willy Archibald
Heart failuresupporting

Also known as: CHF

Patient presents with severely elevated blood pressure (194/126) and CHF exacerbation. Used as a teaching case for Chaz (Pratt's brother) who is interrupted by workplace harassment.

Hyponatremiasupporting

Also known as: Low sodium

Altered mental status

Patient with altered mental status and electrolyte abnormalities following gastric bypass surgery.

Also known as: Severe asthma attack

Hypoxemia

Patient in Exam 2 with severe asthma exacerbation, oxygen saturation dropping to 89%. Morris treats aggressively with albuterol, steroids, and epinephrine to avoid intubation.