TvDx
ER

ERNBC

Season 14, Episode 18

8 medical diagnoses portrayed

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Also known as: Liver failure

Hepatic encephalopathyCoagulopathyGastrointestinal hemorrhageHyperkalemiaCardiac arrestHepatorenal syndrome

A transgender woman develops fulminant hepatic failure from tetrachloroethane contamination in black-market estrogen injections from Mexico. She experiences encephalopathy, coagulopathy with GI bleeding, cardiac arrest from hyperkalemia, and requires emergent liver transplant evaluation. Her family struggles with her transition while facing the need for living donor transplantation.

ER — S14E18Patient: Lois/Loni Landry

Also known as: Brain dysfunction from liver failure

Patient presents with altered mental status, asterixis, and elevated ammonia levels secondary to her acute liver failure, requiring lactulose treatment.

ER — S14E18Patient: Lois/Loni Landry

Also known as: Firework impalement

Truck driver suffers abdominal and pelvic trauma after swerving to avoid a pedestrian and hitting a pole.

ER — S14E18Patient: Manny Bonilla

Also known as: Perforated intestine

Intra-abdominal abscessSepsis

Postoperative patient develops bowel perforation with abscess formation, requiring surgical débridement and primary closure. She subsequently develops sepsis from multidrug-resistant Acinetobacter infection that is resistant to all available antibiotics.

ER — S14E18Patient: Sheryl Hawkins
Sepsismajor

Also known as: Blood infection

Acute respiratory distress syndrome

Mother of four develops overwhelming sepsis from multidrug-resistant Acinetobacter infection following bowel surgery, with no effective antibiotic options. She chooses to be intubated despite poor prognosis, hoping for a miracle.

ER — S14E18Patient: Sheryl Hawkins
Hypertensionsupporting

Also known as: High blood pressure

Elderly patient repeatedly returns to ER for medication refills after running out of his blood pressure medications, demonstrating inappropriate ER utilization.

ER — S14E18Patient: Mr. Randall
Cirrhosissupporting

Also known as: Liver scarring

Patient's mother is discovered to have cirrhosis from past alcohol use during liver transplant donor workup, preventing her from being able to donate to her child.

ER — S14E18Patient: Edith Landry

Also known as: PTSD

Dr. Morris undergoes mandatory psychiatric debriefing following a hostage situation with a fatality. He denies symptoms but colleagues express concern about his emotional state.

ER — S14E18Patient: Dr. Morris
Recurring storyline