TvDx
Grey's Anatomy

Grey's AnatomyABC

Season 15, Episode 14

9 medical diagnoses portrayed

Watch on Amazon

Also known as: Small bowel cancer

AdhesionsScar tissue

Meredith Grey performs a 27-hour pancreas-sparing total duodenectomy in a frozen abdomen, breaking the hospital record for longest single surgery. The procedure is complicated by extensive adhesions and scar tissue.

Also known as: Narcotic overdose

Respiratory depressionCardiac arrhythmiasMulti-organ damage

Mass casualty event with 50+ overdose victims from contaminated street drugs in Meridien Park. Multiple patients require Narcan administration, with some not responding to standard doses, indicating a particularly dangerous batch of opioids.

Also known as: Narcotic overdose

Aortic dissectionHypertensive emergencyMulti-organ damage

Betty overdoses on methamphetamine and opioids, developing a hypertensive emergency (BP 280/145) and Type B aortic dissection requiring emergency surgery. She also used with her boyfriend who dies from the same batch of drugs.

Grey's Anatomy — S15E14Patient: Betty/Britney
Recurring storyline

Also known as: Tear in the aorta

Distal aortic blockageLoss of blood flow to extremities

Betty develops a Type B aortic dissection as a complication of methamphetamine use. Initial endovascular stent placement fails due to distal aortic blockage, requiring open surgical reconstruction of the distal aorta.

Grey's Anatomy — S15E14Patient: Betty/Britney
Recurring storyline

Also known as: Severe high blood pressure

Aortic dissectionRisk of intracranial hemorrhage

Betty presents with severe hypertension (280/145) secondary to methamphetamine and opioid use, treated with clevidipine drip. The hypertensive crisis leads to aortic dissection.

Grey's Anatomy — S15E14Patient: Betty/Britney
Recurring storyline

Also known as: Broken arms

Scaphoid humpback deformity

Female patient who overdosed also sustained bilateral arm fractures from a fall. Requires surgical fixation with attention to scaphoid humpback deformity affecting the distal pole entry point.

Abscesssupporting

Also known as: Infection

Injection drug user presents with a shooter's abscess requiring antibiotics and surgical washout in the OR.

EscharsDead tissue requiring debridement

Homeless man presents with severe ulcerations and eschars on both feet requiring extensive debridement by plastics. Condition attributed to lack of proper footwear and living conditions in the park.

Grey's Anatomy — S15E14Patient: Ralph Tennyson

Also known as: Heroin addiction

Child endangermentHypertension

Mother of young child presents with hypertension after taking her son to the park to purchase drugs. Started with prescription opioids from a friend and progressed to buying street drugs.