TvDx
ER

ERNBC

Season 15, Episode 22

16 medical diagnoses portrayed

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Also known as: Alcohol poisoning

Aspiration pneumoniaHypoxic brain injuryComa

A 15-year-old girl is brought in unconscious after a drinking game at a slumber party with a blood alcohol level of 420. She requires intubation, develops aspiration pneumonia, and remains in a coma for most of the episode before showing some responsiveness at the end.

ER — S15E22Patient: Stacey Taylor
Hypothermiasupporting

Also known as: Cold exposure

Wrist fracture from fall

An elderly woman with dementia is found wandering outside in the rain and cold with a core temperature of 90 degrees. She is treated with warming measures and recovers, though she wanders away again later in the episode.

ER — S15E22Patient: Beverly
Dementiasupporting

Also known as: Alzheimer's disease

WanderingHypothermia exposure

Beverly has dementia causing her to wander from her home repeatedly despite her daughter's attempts to keep her safe. She cannot remember recent events and confuses past and present.

ER — S15E22Patient: Beverly
Pleural effusionsRespiratory distress

A 60-year-old man with AIDS since 1987 presents with severe shortness of breath from bilateral pleural effusions. After thoracentesis, atypical lymphocytes are found revealing primary effusion lymphoma with a prognosis of two months. He declines chemotherapy.

ER — S15E22Patient: Mr. Gandhi

Also known as: AIDS

Primary effusion lymphoma

Patient has been living with AIDS since 1987 and has survived 20 years longer than many of his peers. His immunodeficiency contributed to development of AIDS-related lymphoma.

ER — S15E22Patient: Mr. Gandhi
Disseminated intravascular coagulationHemorrhageDeath

A woman delivering twins develops uterine inversion after the second birth, where the uterus turns inside out and pushes through the cervix. Despite manual reduction and treatment, she develops DIC and dies after over an hour of resuscitation attempts.

ER — S15E22Patient: Lisa Salamunovich

Also known as: Baby inhaling stool in amniotic fluid

Respiratory distressRequired intubation

The second twin aspirates meconium during delivery, requiring immediate suctioning and intubation to prevent respiratory compromise. She is successfully extubated after treatment.

Also known as: DIC

HemorrhageCardiac arrestDeath

Following uterine inversion and hemorrhage, the patient develops DIC leading to uncontrolled bleeding and ultimately death despite prolonged resuscitation.

ER — S15E22Patient: Lisa Salamunovich
Sepsismajor

Also known as: Blood infection

HypotensionPulmonary edemaRespiratory failureDeath

An elderly woman with multiple sclerosis on home IV therapy develops sepsis with severe hypotension and respiratory distress. Her husband initially wants aggressive treatment but ultimately agrees to comfort care, and she dies peacefully.

ER — S15E22Patient: Marjorie Manning

Also known as: MS

Progressive debilitationImmunocompromiseSepsis

Patient has degenerative multiple sclerosis that has left her severely debilitated over many years, requiring extensive home care from her devoted husband before developing fatal sepsis.

ER — S15E22Patient: Marjorie Manning
Pyelonephritissupporting

Also known as: Kidney infection

Sepsis

Patient was on home IV antibiotics for pyelonephritis when she developed sepsis and was brought back to the ER.

ER — S15E22Patient: Marjorie Manning
Penile fracturesupporting

Also known as: Broken p*nis

HematomaEggplant deformity

A sexually active 78-year-old nursing home resident fractures his tunica albuginea during sexual activity when his penis hits the edge of a desk, requiring surgical repair.

ER — S15E22Patient: Mr. Thunhurst

Also known as: Explosion injuries

BurnsTraumatic amputationPneumothoraxInternal bleedingMultiple trauma

Multiple victims arrive from an industrial explosion at a power substation with various injuries including burns, amputations, pneumothorax, and internal injuries requiring mass casualty triage.

Also known as: Pneumonia from inhaling vomit

The alcohol poisoning patient aspirates while unconscious in the bathroom, developing pneumonia requiring antibiotics.

ER — S15E22Patient: Stacey Taylor
Femur fracturesupporting

Also known as: Broken thigh bone

Vascular injury risk

A construction worker who fell 15 feet from scaffolding sustained an open femur fracture with impalement injury requiring surgical intervention.

Otitis mediasupporting

Also known as: Ear infection

Burns from hot garlic oil treatment

A 3-year-old child with ear infection whose mother treated with hot garlic oil, causing second-degree burns to the ear canal.