TvDx
ER

ERNBC

Season 14, Episode 7

7 medical diagnoses portrayed

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Also known as: Adverse drug reaction

HyperthermiaMuscle rigidityAltered mental status

Elderly nursing home resident develops neuroleptic malignant syndrome after receiving Haloperidol during a heat wave. Presents with fever, altered mental status, and muscle rigidity. Treated with dantrolene.

ER — S14E07Patient: J.J. Perkins
Hyperthermiasupporting

Also known as: Heat illness

Dehydration

Multiple elderly nursing home residents arrive at the ER during a heat wave after their air conditioning fails, suffering from hyperthermia and dehydration. Treated with evaporative cooling.

ER — S14E07Patient: Multiple nursing home residents
Appendicitissupporting

Also known as: Inflamed appendix

Patient presents with abdominal pain. CT shows mildly inflamed appendix. Zelinsky questions the diagnosis suggesting epiploic appendagitis, but Dubenko confirms appendicitis requiring laparoscopic surgery.

Also known as: Abnormal heart vessel

Myocardial infarctionCongestive heart failure

Three-month-old infant presenting with chronic fussiness and sweating during feeds. Initially misdiagnosed as colic, but Abby orders additional studies revealing cardiomegaly and pulmonary edema. Cath lab reveals anomalous left main coronary artery diverting blood to GI tract, causing cardiac ischemia. Requires surgical repair.

ER — S14E07Patient: Baby Birk

Also known as: Heart attack

Heart failure

Three-month-old infant having acute myocardial infarction secondary to anomalous coronary artery. EKG shows classic MI pattern. Presents with diaphoresis, tachypnea, and signs of heart failure with pulmonary edema.

ER — S14E07Patient: Baby Birk
Syncopesupporting

Also known as: Fainting

Sixty-five-year-old man presents with syncopal episode after skipping breakfast and lunch. Grady presents the case as straightforward dehydration. Used as teaching case by Moretti.

Also known as: Head laceration

Patient brought in by paramedics with possible blunt head trauma after auto versus pedestrian incident. Patient combative and refuses treatment, insisting he walked into the car and doesn't need care. Signs out AMA.