Also known as: Aortic stenosis
Fire Chief Ripley collapses while buying flowers and is found to have aortic stenosis with a systolic crescendo/decrescendo murmur. He requires valve replacement surgery but has additional concerning lab findings (hypocalcemia and lactic acidosis) that suggest complications beyond the valve disease.
Also known as: Fainting
Ripley experiences a syncopal episode outside a flower shop, resulting in loss of consciousness and a head injury from hitting the pavement. This is the presenting symptom that leads to discovery of his aortic stenosis.
Also known as: Head laceration
Ripley sustains a scalp laceration and concussion from hitting the pavement after his syncopal episode, requiring a head CT and 24-hour observation for confusion.
Also known as: Telescoping bowel
4-year-old Gabby presents with recurrent abdominal pain and vomiting. Initial imaging shows intussusception with intestinal blockage that fails enema reduction and requires surgical intervention.
Also known as: End-stage lymphoma
During surgery for intussusception, Gabby is discovered to have an ileocecal mass that frozen section reveals to be non-Hodgkin's lymphoma. This diagnosis requires years of treatment including chemotherapy, repeat scans, and possible stem cell transplant, becoming central to the insurance fraud subplot.
Also known as: Dislocated shoulder
A patient presents with an anterior shoulder dislocation that Nico and Levi reduce using traction during a tense conversation about their relationship.
Also known as: Thymus tumor
Gus, the RH-null 'golden blood' patient, has an underlying thymoma causing severe anemia. This prevents him from donating blood to another RH-null patient in Canada, creating a major emotional crisis for Jo Karev.
Also known as: Low blood count
Gus is severely anemic secondary to his thymoma, which makes him unable to donate blood despite being RH-null, crushing the hopes of another patient needing his rare blood type.
Also known as: Low calcium
Ripley's pre-op labs reveal worsening hypocalcemia along with lactic acidosis, suggesting chemical exposure or additional complications beyond his aortic stenosis that alarm the doctors.
Along with hypocalcemia, Ripley shows lactic acidosis on labs, raising concerns about possible chemical exposure or systemic complications that go beyond his cardiac diagnosis.