TvDx
ER

ERNBC

Season 15, Episode 12

9 medical diagnoses portrayed

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Also known as: VRE blood infection

SepsisAcute respiratory distressThird-spacingDisseminated intravascular coagulation

Young patient with persistent VRE bacteremia requiring multiple treatment approaches. The episode centers on the medical team's dilemma about whether to perform gallbladder surgery or pursue less invasive treatment, with the patient ultimately improving after percutaneous drainage and antibiotic change.

ER — S15E12Patient: Ana
Cholecystitissupporting

Also known as: Gallbladder inflammation

Abscess formation

The suspected source of Ana's persistent VRE bacteremia, leading to debate about whether to surgically remove the gallbladder or pursue percutaneous drainage.

ER — S15E12Patient: Ana

Also known as: Dream running

Trauma from acting out dreams

Patient with chronic REM sleep behavior disorder who physically acts out his dreams, resulting in fall through a second-story window. The condition is the reason for his presentation but secondary to his traumatic injuries.

ER — S15E12Patient: Nick Vasquez

Also known as: Internal bleeding

Hemorrhagic shockCardiac arrest

Major plot driver involving diagnostic uncertainty about source of bleeding. The episode explores different timelines where choosing CT vs. angiogram determines patient survival, ultimately requiring emergency thoracotomy in the ER.

ER — S15E12Patient: Nick Vasquez
Pelvic fracturesupporting

Also known as: Broken pelvis

Non-displaced pelvic fracture initially suspected as source of bleeding, creating diagnostic confusion about whether to pursue angiography or CT scan.

ER — S15E12Patient: Nick Vasquez

Also known as: Broken leg bones

Displaced lower leg fracture from the fall, requiring orthopedic consultation but secondary to the patient's life-threatening abdominal bleeding.

ER — S15E12Patient: Nick Vasquez

Also known as: V-tach

Cardiac arrest

Life-threatening cardiac arrhythmia resulting from severe blood loss and shock, requiring multiple defibrillations and medications.

ER — S15E12Patient: Nick Vasquez

Also known as: DIC

Coagulation disorder complicating Ana's sepsis during the attempted surgical procedure, requiring treatment with protein C and heparin.

ER — S15E12Patient: Ana

Also known as: V-fib

Cardiac arrest

Cardiac arrest rhythm occurring during Ana's surgical procedure, requiring multiple defibrillations and ultimately contributing to decision to halt surgery.

ER — S15E12Patient: Ana