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Grey's Anatomy

Grey's AnatomyABC

Season 13, Episode 4

9 medical diagnoses portrayed

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Also known as: Ruptured spleen

Splenic injuryHemorrhage

Polly sustained a grade-3 splenic injury from the glider plane crash. The team initially chose conservative management with observation, but her spleen ruptured during observation, requiring emergency surgery.

Grey's Anatomy — S13E04Patient: Polly Campbell

Also known as: Tear in the aorta

Spinal cord ischemiaParaplegia

During surgery for her ruptured spleen, Polly developed a sudden aortic dissection that compromised feeder vessels to her spinal cord at L-4, resulting in permanent paraplegia from the waist down. This complication drives a central ethical conflict about whether the decision to wait contributed to the outcome.

Grey's Anatomy — S13E04Patient: Polly Campbell

Also known as: Paralysis

Polly becomes paralyzed from the waist down due to spinal cord damage at L-4 caused by the aortic dissection compromising blood flow to the spinal cord. This is irreversible and creates emotional drama as her husband is also paraplegic.

Grey's Anatomy — S13E04Patient: Polly Campbell
Pneumothoraxsupporting

Also known as: Collapsed lung

Polly presented with fluid in the chest and dropping oxygen saturation requiring emergency chest tube placement in the ER.

Grey's Anatomy — S13E04Patient: Polly Campbell

Also known as: EDS

Joint hypermobilityEasy bruisingDehydration

Alex and Richard diagnose Emma, a college student repeatedly coming to the clinic for hangover symptoms, with Ehlers-Danlos syndrome. She was misdiagnosed as an alcoholic when her symptoms (dehydration, joint hypermobility, easy bruising, fainting) were actually manifestations of this rare connective tissue disorder.

Also known as: Dislocated shoulder

Emma dislocates her shoulder when trying to leave the clinic, which Richard reduces. This event helps reveal her underlying Ehlers-Danlos syndrome due to her joint hypermobility.

Abscesssupporting

Also known as: Infection

A clinic patient presents with an infected abscess requiring incision and drainage. This case highlights Alex's limited authority in the clinic and creates workplace tension.

Also known as: Facial cut

Daniel sustained superficial facial lacerations in the glider plane crash, which were treated in the ER.

Grey's Anatomy — S13E04Patient: Daniel Campbell
Paraplegiasupporting

Also known as: Paralysis

Daniel reveals he has been paraplegic for three years from a previous injury. This pre-existing condition creates emotional resonance when his wife becomes paralyzed in the crash.

Grey's Anatomy — S13E04Patient: Daniel Campbell