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Grey's Anatomy

Grey's AnatomyABC

Season 3, Episode 21

5 medical diagnoses portrayed

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Also known as: Parasitic fish lodged in urethra causing massive testicular swelling

Urinary retentionSepsis riskCardiac arrhythmia (V-tach during surgery)

Chairman of the board presents with massive scrotal swelling after a candiru fish (penis fish) swam up his urethra while urinating in the Amazon River. The fish lodged in his prostatic urethra causing urinary obstruction for three days. Required surgical removal via open approach after endoscopic attempts failed, complicated by cardiac arrhythmias during surgery.

Grey's Anatomy — S03E21Patient: Larry Jennings

Also known as: Leaking spinal fluid through the nose

Brain sinking into skull baseBrain herniation

Patient presents multiple times to clinic with chronic runny nose initially dismissed as a cold. Eventually diagnosed with CSF leak through nose (halo sign on pillow) caused by brain herniation where his brain is sinking into his skull base. Required surgical repair.

Grey's Anatomy — S03E21Patient: Mr. Benton

Also known as: Pregnancy-induced high blood pressure with seizure

Seizure (eclampsia)Hypertensive crisis (BP 202/134)Cerebral edemaFetal distress

Pregnant amnesiac patient at 30 weeks gestation develops severely elevated blood pressure (171/118, later 202/134) with edema. Despite epidural placement to lower BP, she has a seizure and requires emergency C-section to prevent maternal death and deliver premature baby.

Grey's Anatomy — S03E21Patient: Ava (Jane Doe)
Recurring storyline

Also known as: Preemie

Baby delivered via emergency C-section at 30 weeks gestation due to maternal pre-eclampsia with seizure. Baby noted to be beautiful and handled by pediatrics with high expected survival rate.

Grey's Anatomy — S03E21Patient: Ava's baby

Also known as: Bleeding after delivery

During emergency C-section, patient experiences significant bleeding requiring blood transfusion and clamping of uterine arteries with deep bleeding vessels requiring additional surgical intervention.

Grey's Anatomy — S03E21Patient: Ava (Jane Doe)