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Grey's Anatomy

Grey's AnatomyABC

Season 18, Episode 4

10 medical diagnoses portrayed

Watch on Amazon

Also known as: Scarring of the lungs

Lung cancerRespiratory failureCardiac arrest

Roy Davis, a 60-year-old veteran, presents with advanced pulmonary fibrosis caused by burn pit exposure during military service. His condition is so severe that his lung tissue falls apart during surgery, and he ultimately dies from cardiac arrest due to respiratory complications.

Grey's Anatomy — S18E04Patient: Roy Davis

Also known as: Lung cancer

Early stage lung cancer is discovered in Roy's lungs on CT scan. Due to his advanced pulmonary fibrosis, surgeons cannot perform a standard lobectomy and must attempt a risky segmentectomy to remove only the mass.

Grey's Anatomy — S18E04Patient: Roy Davis
Hemoptysissupporting

Also known as: Coughing up blood

Roy experiences an episode of hemoptysis (coughing up blood) that leads to syncope and emergency department admission.

Grey's Anatomy — S18E04Patient: Roy Davis
Syncopesupporting

Also known as: Fainting

Roy collapses and loses consciousness after coughing up blood at a veterans' support group meeting.

Grey's Anatomy — S18E04Patient: Roy Davis

Also known as: Prolonged seizure

Tovah, a uterine transplant patient in Addison Montgomery's clinical trial, experiences status epilepticus requiring emergency treatment with lorazepam, phenobarbital, and induced coma. The seizures are ultimately determined to be caused by neurotoxicity from anti-rejection medications.

Seizures

After ruling out stroke, tumor, infection, and electrolyte abnormalities, Tovah's seizures are determined to be caused by neurotoxicity from her anti-rejection medications following her uterine transplant.

Also known as: Calcified pericardium constricting the heart

Farouk, Noah's adopted teenage son, is diagnosed with constrictive pericarditis secondary to tuberculosis he had 10 years ago in Iraq. He presents with fatigue during soccer, ankle swelling, and a heart murmur. He will require pericardiectomy surgery.

Recurring storyline
Preterm laborsupporting

Also known as: Early labor

Shoulder dystocia

Niki, a pregnant woman who is a couple of weeks from her due date, presents to the hospital in active labor. She is 5 centimeters dilated and gives birth to a baby boy.

Also known as: Baby stuck during delivery

During delivery, Niki's baby experiences shoulder dystocia where the baby's shoulder is caught behind the pubic bone, requiring a McRoberts maneuver to safely deliver the baby.

Cholecystitissupporting

Also known as: Gallbladder inflammation

Intraoperative hemorrhage

Multiple patients (13 total) undergo laparoscopic cholecystectomy for cholecystitis as part of the Webber Method teaching initiative. One case experiences severe hemorrhage requiring conversion to open surgery.