TvDx
Grey's Anatomy

Grey's AnatomyABC

Season 4, Episode 16

8 medical diagnoses portrayed

Watch on Amazon

Also known as: Cement entrapment injury

RhabdomyolysisCompartment syndromeAcute kidney injuryHyperkalemiaChemical burns

A 19-year-old man is trapped in several tons of hardened cement after lying in a vat as a dare. The cement is leeching water from his body and causing alkaline burns while compression threatens limb loss and multiple organ systems. The surgical team debates approaches to safely extract him before toxin buildup causes cardiac arrest.

Grey's Anatomy — S04E16Patient: Andrew Langston

Also known as: GBM, terminal brain cancer

SeizuresParalysis

Young patient enrolled in Derek's experimental clinical trial using oncolytic virus therapy. He suffers from seizures due to his brain tumor and undergoes surgery as the last patient before the IRB shuts down the trial at midnight due to 11 previous deaths.

Grey's Anatomy — S04E16Patient: Jeremy West

Also known as: GBM, terminal brain cancer

Right-sided paralysis

Young patient enrolled in Derek's experimental clinical trial, paralyzed on her right side from her tumor. She and Jeremy are the last two survivors from their cancer support group. Her surgery is scheduled for the same day as Jeremy's to meet the IRB deadline.

Grey's Anatomy — S04E16Patient: Beth Monroe

Also known as: Cast too tight

Limb loss risk

Callie Torres performs an emergency fasciotomy to relieve pressure in Andrew's leg to prevent limb loss as the cement is removed.

Grey's Anatomy — S04E16Patient: Andrew Langston
Chemical burnsupporting

Also known as: Acid burn

The alkaline cement causes internal chemical burns to Andrew's skin that are treated with vinegar to minimize damage while he remains entrapped.

Grey's Anatomy — S04E16Patient: Andrew Langston

Also known as: Bladder blockage

Bladder rupture risk

Bailey realizes Andrew's bladder is at risk of rupture after hours of hydration without catheterization while he's trapped in cement, requiring urgent intervention.

Grey's Anatomy — S04E16Patient: Andrew Langston

Also known as: False pregnancy, hysterical pregnancy

Rebecca exhibits increasingly disturbed behavior, believing she was pregnant when she was not. Alex stays home with her as her mental state deteriorates, culminating in her attempting suicide at his apartment.

Grey's Anatomy — S04E16Patient: Rebecca Pope (formerly Ava)
Recurring storyline

Also known as: Overdose

Death

Rebecca dies by suicide at Alex's apartment. Time of death is called at 11:47, devastating Alex who has been trying to care for her deteriorating mental state.

Grey's Anatomy — S04E16Patient: Rebecca Pope (formerly Ava)
Recurring storyline