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Grey's Anatomy

Grey's AnatomyABC

Season 7, Episode 18

13 medical diagnoses portrayed

Watch on Amazon

Also known as: Brain bleed

Depressed skull fractureIncreased intracranial pressure

Callie sustains a large epidural and subdural hematoma after going through a windshield in a car accident. Derek performs emergency craniotomy to evacuate the hematoma and decompress her brain.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: Brain bleed

Potential permanent neurological damage

Found concurrently with the epidural hematoma on CT scan, requiring surgical decompression. There is concern she may not regain full neurological function.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: Hole in the heart

Cardiac contusionHemodynamic instability

Traumatic VSD from blunt chest trauma. Initially planned for open repair with bypass, but Cristina convinces Owen to perform a percutaneous catheter-based repair to avoid heparin and hypothermia risks to the baby.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: Internal bleeding

Hemorrhagic shockAbdominal compartment syndrome

Callie has significant intra-abdominal bleeding requiring damage control surgery with temporary abdominal closure. She later develops abdominal compartment syndrome requiring re-operation.

Grey's Anatomy — S07E18Patient: Callie Torres
Pneumothoraxsupporting

Also known as: Collapsed lung

Teddy identifies no breath sounds on the right side and places a chest tube to treat the pneumothorax from the trauma.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: V-fib

Cardiac arrest

During initial trauma resuscitation, Callie goes into ventricular fibrillation and requires defibrillation and CPR before being stabilized.

Grey's Anatomy — S07E18Patient: Callie Torres
Hypothermiasupporting

Also known as: Cold exposure

Coagulopathy

Callie develops hypothermia during surgery (temp drops to 32 degrees), requiring warm fluids and affecting her clotting ability.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: Early labor

Risk of preterm delivery at 23 weeks

Callie begins having contractions during surgery at 23 weeks gestation, creating conflict about whether to deliver the barely viable baby versus continuing to treat Callie's injuries.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: Premature birth

Respiratory distressRisk of cerebral palsyRisk of retinopathy of prematurityRisk of encephalopathy

Baby delivered at 23 weeks weighing 1 pound 1 ounce after Callie codes during surgery. Initial Apgar is zero, requiring resuscitation, intubation, and intensive support.

Grey's Anatomy — S07E18Patient: Baby Torres-Robbins

Also known as: Pressure buildup in the belly

Flash pulmonary edemaHemodynamic collapse

Callie develops abdominal compartment syndrome with a tight, distended abdomen and flash pulmonary edema, requiring emergency return to the OR.

Grey's Anatomy — S07E18Patient: Callie Torres
Pulmonary edemasupporting

Also known as: Fluid in the lungs

Flash pulmonary edema develops secondary to abdominal compartment syndrome and cardiovascular compromise.

Grey's Anatomy — S07E18Patient: Callie Torres

Also known as: SVT

Callie develops SVT requiring treatment with adenosine and diltiazem.

Grey's Anatomy — S07E18Patient: Callie Torres
Air embolismsupporting

Also known as: Air bubbles in blood vessels

BradycardiaCardiovascular collapse

During the percutaneous VSD repair, Callie develops what is suspected to be an air embolus, causing severe bradycardia and requiring cardiac massage and resuscitation.

Grey's Anatomy — S07E18Patient: Callie Torres