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Grey's Anatomy

Grey's AnatomyABC

Season 4, Episode 9

9 medical diagnoses portrayed

Watch on Amazon

Also known as: Neck tumor

Exposed carotid artery with risk of arterial rupture

Nick had a large carotid body tumor surgically removed, leaving only a delicate flap of skin between his carotid artery and the outside world. The team is briefed on emergency protocols in case the artery blows.

Grey's Anatomy — S04E09Patient: Nick Hanscomb

Also known as: Chest bone infection

Requires sternal removal and pectoral muscle reconstruction

Jacob developed a sternal infection two weeks after coronary artery bypass surgery, requiring removal of his sternum and plastic surgery reconstruction. He also sustained leg injuries from the ambulance crash.

Grey's Anatomy — S04E09Patient: Jacob Nolston
Femur fracturesupporting

Also known as: Broken thigh bone

Embedded shrapnel

Jacob sustained a femoral fracture with metal shrapnel embedded in his femur during the ambulance crash outside the ER.

Grey's Anatomy — S04E09Patient: Jacob Nolston

Also known as: Seizure

Caused motor vehicle accident

Mary, a paramedic, had a seizure while driving her ambulance, causing the multi-vehicle crash. This was her first seizure, requiring neurological workup including MRI and brain surgery.

Grey's Anatomy — S04E09Patient: Mary Daltry

Also known as: Brain cancer

Caused new-onset seizures

Mary's MRI revealed a brain tumor causing her seizures. Dr. Shepherd performs a minimally invasive cookie craniotomy to access it, but the stereotactic navigation system fails during surgery.

Grey's Anatomy — S04E09Patient: Mary Daltry

Also known as: Dislocated elbow

Weak pulse indicating possible vascular compromise

Mary sustained a severe elbow dislocation in the ambulance crash with associated weak pulse, requiring urgent reduction.

Grey's Anatomy — S04E09Patient: Mary Daltry

Also known as: Blood around the heart

Requires pericardiocentesisRisk of death if oxygen regulator moves

Ray, a paramedic trapped in the ambulance wreckage, has an oxygen regulator embedded in his back causing cardiac tamponade. Moving him risks worsening the tear in his heart.

Also known as: Spinal cord damage

Complete loss of sensation below injury

Richard, trapped upside down in the ambulance, cannot feel anything below his waist. His body is trapped in the door and he has bilateral ear bleeding suggesting severe trauma.

Grey's Anatomy — S04E09Patient: Richard (paramedic)

Also known as: Liver injury

Intraperitoneal bleedingRequires emergency laparotomy

Shane, a paramedic and white supremacist, has a completely ruptured liver with intraperitoneal bleeding requiring emergency surgery. He initially refuses treatment from non-white doctors.