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Grey's Anatomy

Grey's AnatomyABC

Season 15, Episode 22

11 medical diagnoses portrayed

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Also known as: Two uteruses

Undiagnosed pregnancyEmergency labor

Avi presents with abdominal pain thinking she has a bowel obstruction from her IBD, but is discovered to have uterus didelphys (two uteri) and is actually in active labor, pregnant in only one uterus. The condition led to her pregnancy going undetected despite having her period.

Also known as: IBD

Avi has a history of IBD with three previous obstructions and surgeries, which led her to initially misdiagnose her own labor pains as another bowel obstruction.

Also known as: Fluid around the heart

Penetrating cardiac injury

Gemma, a recovering alcoholic who relapsed, passed out drunk and fell on her stiletto heels, driving one through her chest and puncturing her heart, causing a pericardial effusion requiring a pericardial window procedure.

Also known as: Broken vertebra

Pulmonary artery embolismCardiac arrestDeath

Josh, a 21-year-old with hereditary osteoporosis, has a compression fracture at T11-T12 that is treated with vertebroplasty. The bone cement leaks during the procedure, causing a massive pulmonary artery embolism and cardiac arrest, ultimately resulting in his death.

Grey's Anatomy — S15E22Patient: Josh Sterman
Compression fracture

Josh's underlying hereditary osteoporosis is the reason for his compression fracture requiring vertebroplasty.

Grey's Anatomy — S15E22Patient: Josh Sterman

Also known as: Blood clot in lung artery

Pulmonary artery destructionCardiac arrestDeath

Bone cement from Josh's vertebroplasty leaks and causes a massive pulmonary artery embolism that destroys the pulmonary artery. Despite attempts to repair it, the damage is too extensive and he dies.

Grey's Anatomy — S15E22Patient: Josh Sterman

Also known as: Broken neck with paralysis

Quadriplegia

A patient is quadriplegic due to cervical spine injury and undergoes an experimental stem cell trial where stem cells are directly injected into the cervical spine, with the hope of regaining arm function and converting from quadriplegia to paraplegia.

Diverticulitissupporting

Josh's grandfather has recurrent diverticulitis requiring multiple bowel resections by Dr. Bailey over the years. This is mentioned as background during Josh's case.

Grey's Anatomy — S15E22Patient: Pop-Pop (Josh's grandfather)

Also known as: Alcoholism

RelapseTrauma from fall

Gemma is a recovering alcoholic with 17 years of sobriety who relapses after her sponsor Ollie dies. Her drinking leads to her falling and impaling herself on her stiletto heel.

Also known as: Alcohol poisoning

Jo returns from Pittsburgh emotionally devastated and drinks vodka at work to cope with her pain. Alex threatens to report her to Bailey if she comes to work drunk again, representing a crisis point in her character arc.

Grey's Anatomy — S15E22Patient: Jo Karev
Recurring storyline

Also known as: PTSD

Owen undergoes Neuro Emotional Technique therapy with a therapist who helps him uncover that his inability to accept joy stems from childhood trauma when his father died on the same day he won a school prize, creating a pattern of self-sabotage.

Grey's Anatomy — S15E22Patient: Owen Hunt
Recurring storyline