TvDx
Grey's Anatomy

Grey's AnatomyABC

Season 4, Episode 11

8 medical diagnoses portrayed

Watch on Amazon

Also known as: Tear in heart artery

Myocardial infarctionCardiac arrest

Elizabeth Archer, a faith healer, presents with dissection of the proximal two-thirds of the LAD (left anterior descending coronary artery). She refuses surgery initially, wanting to attempt self-healing, but eventually requires surgical repair as the dissection extends.

Grey's Anatomy — S04E11Patient: Elizabeth Archer

Also known as: Kidney injury from bus accident

Diaphragmatic ruptureGastric perforationThoracic aortic injuryRib fracturesPneumothorax

Dr. Bailey's young son Tuck is crushed under a falling bookshelf at home, sustaining multiple severe injuries requiring emergency surgery. This drives the emotional core of the episode as Bailey struggles with guilt and fear.

Grey's Anatomy — S04E11Patient: Tuck (William George Bailey Jones)

Also known as: Ruptured diaphragm

Visceral herniation into chest cavity

Tuck's ruptured diaphragm allows his stomach and colon to herniate into his chest cavity, compressing his heart and requiring surgical repair.

Grey's Anatomy — S04E11Patient: Tuck (William George Bailey Jones)

Also known as: Perforated stomach

Peritonitis riskInfection of chest cavity

Tuck's stomach ruptures from the blunt trauma, initially feared to be colon rupture which would have caused fecal contamination and infection risk to the aortic repair.

Grey's Anatomy — S04E11Patient: Tuck (William George Bailey Jones)

Also known as: Gunshot wound to aorta

Risk of aortic ruptureHemorrhage

The trauma from the bookshelf causes injury to Tuck's thoracic aorta, which must be carefully repaired during surgery.

Grey's Anatomy — S04E11Patient: Tuck (William George Bailey Jones)

Also known as: V-tach

Cardiac arrest

Mr. Greenwald experiences recurrent episodes of ventricular tachycardia throughout the day, which mysteriously stabilizes after Elizabeth Archer lays hands on him (though medically explained by delayed amiodarone effect).

Grey's Anatomy — S04E11Patient: Mr. Greenwald

Also known as: Staph infection

Dr. Sloan's patient has a staph infection that unexpectedly resolves after Elizabeth Archer touches her, though a medical explanation is implied.

Grey's Anatomy — S04E11Patient: Miss McCaffrey
Anaphylaxissupporting

Also known as: Severe allergic reaction

Airway compromiseUrticaria

Lexie experiences an allergic reaction with rash and throat closing after eating eggs prepared by Meredith, requiring epinephrine treatment.

Grey's Anatomy — S04E11Patient: Lexie Grey