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Grey's Anatomy

Grey's AnatomyABC

Season 5, Episode 20

11 medical diagnoses portrayed

Watch on Amazon

Also known as: Skin cancer that has spread

Brain metastasesLiver metastasesSkin metastases

Izzie is undergoing high-dose IL-2 chemotherapy for her metastatic melanoma, which causes severe side effects throughout the episode. Despite her deteriorating condition, she tries to maintain normalcy by planning Meredith's wedding.

Grey's Anatomy — S05E20Patient: Izzie Stevens
Recurring storyline

Also known as: PTSD

Violent behavior during sleepRelationship difficulties

Owen continues therapy for PTSD related to his military service. He struggles to identify and name his feelings, particularly shame over having attacked Cristina during a nightmare.

Grey's Anatomy — S05E20Patient: Owen Hunt
Recurring storyline
SeizuresRespiratory failureDeath

Six-year-old Jessica dies from Tay-Sachs disease after her father struggles to accept that experimental treatment in Mexico won't save her. Arizona helps the father accept his daughter's imminent death so he can be present for her final moments.

Also known as: Kidney injury from bus accident

Splenic injuryHypotension

Driver who swerved to avoid a pedestrian and hit a pole, sustaining abdominal injuries with bleeding around his spleen. Mark Sloan manages the abdominal trauma while Derek and Mark compete over surgical priorities.

Grey's Anatomy — S05E20Patient: Dan Gates
Facial paralysis

The car accident patient sustained damage to his facial nerve from a broken temporal bone, requiring nerve repair surgery by Derek Shepherd.

Grey's Anatomy — S05E20Patient: Dan Gates

Also known as: Perforated eardrum

Hearing lossOssicular chain disruption

The patient's ruptured eardrum from the car accident requires ossicular reconstruction by Mark Sloan to prevent permanent hearing loss.

Grey's Anatomy — S05E20Patient: Dan Gates
Zygoma fracturesupporting

Also known as: Fractured cheekbone

ZMC (zygomaticomaxillary complex) fracture of the temporal bone sustained in the motor vehicle accident.

Grey's Anatomy — S05E20Patient: Dan Gates

Also known as: Broken arm

Pedestrian who jumped in front of a car sustained a fractured humerus with bruising, though maintained good pulses.

Grey's Anatomy — S05E20Patient: Anthony Meloy

Also known as: Suicide attempt

Suicide attempt by jumping in front of vehicle

Patient who deliberately jumped in front of a moving car in an apparent suicide attempt. Meredith orders a psychiatric consult but the patient leaves before evaluation, then jumps from a height causing massive trauma.

Grey's Anatomy — S05E20Patient: Anthony Meloy

Also known as: Impalement near aorta

Hemorrhagic shockCardiac arrest

After jumping from a height, the patient sustained a rib fracture that protruded into his ascending aorta, causing massive bleeding. George performed an emergency thoracotomy and clamped the injury, saving the patient's life.

Grey's Anatomy — S05E20Patient: Anthony Meloy
Hemothoraxsupporting

Also known as: Blood in chest cavity

Bilateral chest tubes were inserted for bleeding in the chest cavity following the patient's fall.

Grey's Anatomy — S05E20Patient: Anthony Meloy