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Grey's Anatomy

Grey's AnatomyABC

Season 4, Episode 10

9 medical diagnoses portrayed

Watch on Amazon

Also known as: Blood around the heart

Hemorrhagic shockCardiac arrest

Paramedic Ray develops cardiac tamponade after a traumatic injury, requiring emergency pericardiocentesis performed while he is trapped upside down in an ambulance. The procedure is complicated by his inverted position.

Also known as: Blown carotid artery

Hemorrhagic shockCerebrovascular accident

Patient Nick Hanscomb experiences a carotid artery blowout (herald bleed) that causes massive bleeding. He subsequently suffers a left-sided stroke due to blood loss and is rushed to emergency surgery.

Grey's Anatomy — S04E10Patient: Nick Hanscomb
Strokemajor

Also known as: Brain attack

Nick develops a left-sided CVA (stroke) as a complication of his carotid artery rupture and subsequent massive blood loss, requiring emergency intervention.

Grey's Anatomy — S04E10Patient: Nick Hanscomb
Brain tumorsupporting

Also known as: Brain cancer

Equipment failure during surgery

A patient undergoing brain tumor resection experiences a critical equipment failure when the navigational system crashes mid-surgery with probes in the tumors. The surgery cannot proceed without computer repair.

Also known as: Liver vein injury

Air embolism risk

Patient Jacob Nolston suffers an injured hepatic vein during surgery, complicating Dr. Bailey's operation and causing her to miss an important meeting with her husband.

Grey's Anatomy — S04E10Patient: Jacob Nolston

Also known as: Perforated intestine

Jacob Nolston is found to have a bowel perforation in addition to his liver damage, requiring additional surgical repair during his procedure.

Grey's Anatomy — S04E10Patient: Jacob Nolston

Also known as: Heart valve infection

Graft failure

Ray's infection spreads to his heart, causing his cardiac grafts to fail during surgery. Dr. Hahn recognizes that his previous surgeon missed this complication, which nearly proves fatal.

Also known as: Shock from blood loss

Flaccid veinsDifficulty with IV access

Nick develops hypovolemic shock from his carotid artery rupture, with his veins becoming flaccid and making it difficult to establish IV access for blood transfusion.

Grey's Anatomy — S04E10Patient: Nick Hanscomb

Also known as: Failed heart bypass graft

Ray's coronary artery graft blows during surgery when Karev accidentally cuts a cable, requiring emergency intervention by Dr. Hahn.