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Grey's Anatomy

Grey's AnatomyABC

Season 10, Episode 4

8 medical diagnoses portrayed

Watch on Amazon

Also known as: Terminal cancer

AtelectasisImpending respiratory failure

Gene Steers is a terminally ill cancer patient whose disease has spread beyond surgical options. He is combative, offensive, and refuses treatment including incentive spirometry, leading to respiratory complications. Bailey works with him throughout the episode, ultimately helping him accept end-of-life care.

Grey's Anatomy — S10E04Patient: Gene Steers

Also known as: Partial lung collapse

Risk of pneumothoraxRisk of pneumoniaRisk of ARDS

Richard Webber develops atelectasis and refuses to use incentive spirometry, causing his right lung to be on the verge of collapse. Bailey fights to get him to comply with treatment, eventually forcing him onto CPAP and convincing him to use the spirometer to prevent further respiratory decline.

Grey's Anatomy — S10E04Patient: Richard Webber
Recurring storyline

Also known as: Heroin overdose

EndocarditisPericardial effusionCardiac tamponade

Three unidentified patients crash their car while high on heroin. Jake specifically develops serious cardiac complications including endocarditis and pericardial effusion leading to tamponade, requiring emergency pericardial window surgery by Shane Ross.

Grey's Anatomy — S10E04Patient: Jake Doe (and companions)

Also known as: Heart valve infection

Pericardial effusionCardiac tamponade

Jake, one of the heroin-intoxicated patients, develops endocarditis (likely from IV drug use) with high fever and elevated white count. This progresses to pericardial effusion and tamponade requiring urgent intervention.

Grey's Anatomy — S10E04Patient: Jake Doe

Also known as: Blood around the heart

Jake's pericardial effusion progresses to cardiac tamponade requiring emergency pericardial window in the ER by Shane Ross, followed by surgery with Cristina Yang to repair the source of bleeding.

Grey's Anatomy — S10E04Patient: Jake Doe
Tibial fracturesupporting

Also known as: Broken leg

Open fracture with self-impalement through foot

An aerialist performing at the gala falls and sustains a tibia fracture that impales through her own foot. Callie Torres performs external fixation in front of the donors as Jackson turns the emergency into a fundraising opportunity.

Grey's Anatomy — S10E04Patient: Irina (aerialist)

Also known as: Perforated stomach

A trauma patient from the multi-car accident has a gastric rupture that Meredith repairs in surgery, with Derek eventually joining her in the OR after abandoning the gala.

Hemothoraxsupporting

Also known as: Blood in chest cavity

One of the heroin-intoxicated car crash patients is bleeding from his chest tube, requiring management of hemothorax while awaiting coagulation studies and X-rays.

Grey's Anatomy — S10E04Patient: John Doe (trauma patient)