TvDx
ER

ERNBC

Season 15, Episode 19

11 medical diagnoses portrayed

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Also known as: Cold exposure

Seizure disorderHyponatremia

An abandoned newborn infant is brought to the ER suffering from hypothermia (temp 35.7°C) and severe dehydration. The case drives investigation into child abandonment and reveals the mother later in the episode.

ER — S15E19Patient: Abandoned infant

Also known as: Low sodium

Seizure disorder

The abandoned infant has critically low sodium (115) from diluted formula, causing seizures. Treatment involves careful correction with hypertonic saline to avoid brain damage from too-rapid correction.

ER — S15E19Patient: Abandoned infant

Also known as: Brain death

A teenage boy is brain dead following a bicycle accident. The episode centers on convincing his grandmother to consent to organ donation, with confirmation via CBF study showing no brain blood flow.

ER — S15E19Patient: Billy

Also known as: Kidney failure

HyperkalemiaPulmonary edema

Carter is awaiting kidney transplant after developing end-stage renal disease. He experiences complications with elevated potassium and requires careful fluid management before receiving a cadaveric kidney transplant.

ER — S15E19Patient: John Carter
Recurring storyline
Pyelonephritissupporting

Also known as: Kidney infection

An 84-year-old woman with multiple sclerosis presents with fever and vomiting from a urinary tract infection that spread to her kidneys. Her husband refuses hospital admission, preferring home care despite risks.

ER — S15E19Patient: Marjorie

Also known as: MS

An elderly patient has advanced MS with severe disability, affecting her ability to speak and hold her head up. This chronic condition complicates her acute infection treatment.

ER — S15E19Patient: Marjorie

Also known as: Heart failure

A 36-year-old woman is on ECMO awaiting heart transplant. She successfully receives a donor heart from the brain-dead teenager, though the surgery is complicated by limited atrial cuff and time constraints.

ER — S15E19Patient: Sam's patient/Joanie
Pulmonary edemasupporting

Also known as: Fluid in the lungs

Carter develops pulmonary edema related to his renal failure, requiring monitoring and clearing before his kidney transplant can proceed safely.

ER — S15E19Patient: John Carter

Also known as: Blood clot in kidney artery

During Carter's kidney transplant surgery, an arterial thrombosis develops, obstructing blood flow to the new kidney. The surgical team must quickly remove the clot and revise the anastomosis.

ER — S15E19Patient: John Carter
Endocarditissupporting

Also known as: Heart valve infection

A case of endocarditis in an IV drug user is mentioned as having been missed initially by a resident, creating concern about clinical judgment and evaluation timing.

Also known as: Baby blues (severe form)

Child abandonment

The young mother who abandoned her baby likely suffers from postpartum depression, contributing to her inability to care for the infant. Banfield suggests support groups and treatment.

ER — S15E19Patient: Teenage mother of abandoned infant