TvDx
ER

ERNBC

Season 15, Episode 4

13 medical diagnoses portrayed

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Also known as: Tear in the aorta

Suspected diagnosis in a patient with atypical chest pain and abdominal pain. Dr. Banfield teaches the importance of considering aortic dissection when pain occurs above and below the diaphragm, ordering a CT scan.

Pneumothoraxsupporting

Also known as: Collapsed lung

Mugger sustains blunt chest trauma from Dr. Banfield's defensive kick, resulting in rib fractures and collapsed lung. Treated with Heimlich valve rather than chest tube due to pure pneumothorax without hemothorax.

ER — S15E04Patient: Mikey
Rib fracturesupporting

Also known as: Broken rib

Pneumothorax

Multiple rib fractures (fifth and sixth ribs, midaxillary line) sustained during mugging attempt, leading to pneumothorax.

ER — S15E04Patient: Mikey

Also known as: Eye socket fracture

Dr. Banfield sustains inferior orbit fracture during mugging attempt. Despite the injury, she refuses to leave work and continues treating patients.

ER — S15E04Patient: Dr. Catherine Banfield

Also known as: Head laceration

Hypoxia

13-year-old gymnast falls from six-foot wall sustaining head trauma and femur fracture. Initially thought to be accidental, later revealed to have been pushed by her younger sister Claire.

ER — S15E04Patient: Julie O'Fallon

Also known as: Broken thigh bone

Fat embolism syndromeBurns

Obvious femur fracture from fall, complicated by accidental oxygen disconnection and intentional burns inflicted by her sister. Requires surgical pinning in the OR.

ER — S15E04Patient: Julie O'Fallon

Also known as: Callous-unemotional traits

12-year-old girl displays severe antisocial behavior including pushing her sister off a wall, adjusting her sister's ventilator, and setting fire to her sister's hospital bed. Confesses to enjoying seeing her sister hurt. Requires psychiatric hospitalization.

ER — S15E04Patient: Claire O'Fallon
Burnsmajor

Also known as: Second-degree burns

15% body surface area burns intentionally inflicted by sister Claire who set fire to her hospital bed sheet. Non-circumferential burns requiring Burn Unit admission.

ER — S15E04Patient: Julie O'Fallon

Also known as: Major injuries from car accident

HemopneumothoraxPulmonary artery injuryPulmonary vein injury

60-year-old woman with Alzheimer's sustains multiple injuries in motor vehicle accident including flail chest, rib fractures, humerus fracture, and pelvic fractures. Develops hemopneumothorax with pulmonary artery and vein injuries requiring right-sided thoracotomy.

ER — S15E04Patient: Mrs. Holmes

Also known as: Blood and air in chest cavity

Blood and air accumulation in chest cavity following MVA, requiring chest tube and ultimately thoracotomy to repair vascular injuries.

ER — S15E04Patient: Mrs. Holmes

Life-threatening pulmonary artery tear from right hilar injury requiring emergency right-sided thoracotomy and surgical repair.

ER — S15E04Patient: Mrs. Holmes

Also known as: Early-onset Alzheimer's

Patient has pre-existing Alzheimer's disease causing confusion and memory problems during trauma treatment. Son mentions she is in a nursing home and doesn't recognize him half the time.

ER — S15E04Patient: Mrs. Holmes
Ankle sprainsupporting

Also known as: Sprained ankle

Patient falls off Pilates reformer sustaining ankle sprain. Treated with ace bandage, ice, rest, and elevation.

ER — S15E04Patient: Christine