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Grey's Anatomy

Grey's AnatomyABC

Season 10, Episode 18

7 medical diagnoses portrayed

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Also known as: Immune deficiency disorder

Frontal sinusitisPotts puffy tumorRecurrent infections

Braden is a pediatric patient with SCID whose enzyme therapy has failed, leaving him with zero T-cell count and highly vulnerable to infections. He develops a rapidly spreading frontal sinus infection requiring emergency surgery and long-term isolation.

Grey's Anatomy — S10E18Patient: Braden Morris

Also known as: Enlarged heart muscle disease

End-stage heart failure

Ivy is a 15-year-old girl with end-stage heart failure due to dilated cardiomyopathy who receives a heart transplant during the episode. Her case becomes more complex when her younger sister presents with the same condition.

Grey's Anatomy — S10E18Patient: Ivy McNeil

Also known as: Enlarged heart muscle disease

Complete heart blockCardiac arrest

Francesca, Ivy's younger sister, presents with what appears to be flu but is diagnosed with the same dilated cardiomyopathy as her sister. She goes into complete heart block and requires emergency pacemaker implantation. The mysterious cause affecting both sisters drives investigation.

Grey's Anatomy — S10E18Patient: Francesca McNeil
Tetanussupporting

Also known as: Lockjaw

Pathological fractureRictus sardonicusMuscle spasms

Logan is a patient who refuses conventional medicine and develops full-blown tetanus after a composting injury. His muscle spasms become so severe they cause him to break his own arm, requiring surgical intervention to repair both old and new fractures.

Crohn diseasesupporting

Also known as: Crohn's disease

Bowel perforationIntra-abdominal abscessRetroperitoneal abscess

Mr. Gorder presents with a Crohn's perforation that has resulted in a walled-off abscess requiring surgical drainage and bowel resection. The case is used to demonstrate pushing through illness as Murphy operates while severely ill herself.

Grey's Anatomy — S10E18Patient: Mr. Gorder

A pediatric patient with a congenital birth defect requires anoplasty surgery performed by specialist Dr. Lebackes. The case serves to introduce Alex to specialized pediatric surgical techniques and private practice opportunities.

Gastroenteritissupporting

Also known as: Food poisoning

Dehydration

A viral outbreak sweeps through the hospital affecting numerous staff and patients throughout the episode, creating staffing challenges and serving as a backdrop for the theme of doctors refusing to acknowledge their own illness.

Grey's Anatomy — S10E18Patient: Multiple staff members