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Grey's Anatomy

Grey's AnatomyABC

Season 18, Episode 13

9 medical diagnoses portrayed

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Also known as: Hole in the diaphragm

Herniation of abdominal organs into chest cavityHemorrhageDisseminated intravascular coagulation

A second-grade teacher is constricted by his pet Burmese python, causing his diaphragm to rupture and his abdominal organs (liver, stomach, colon) to herniate into his chest cavity. He develops hemorrhage and DIC requiring staged surgery.

Hemothoraxsupporting

Also known as: Blood in chest cavity

Hypoxia

The python constriction causes bleeding into Ivan's chest cavity, initially suspected to be a collapsed lung, discovered on CT scan along with the diaphragmatic rupture.

Also known as: Broken arm

Possible radial nerve injury

Ivan sustains a displaced humerus fracture from the python bite and constriction, requiring ORIF with possible nerve repair.

Also known as: DIC

HemorrhageHemodynamic instability

Ivan develops full DIC during surgery, requiring the surgical team to pack his abdomen and transfer him to ICU for stabilization before attempting further repair.

Also known as: Leaky heart valve

Aortocaval compression syndromeCardiac arrest

A 34-year-old woman who is 22 weeks pregnant requires mitral valve repair for severe insufficiency causing worsening symptoms. Her surgery is delayed when she experiences cardiac arrest from aortocaval compression.

Grey's Anatomy — S18E13Patient: Laura Eames

Also known as: Uterus compressing blood vessels

Cardiac arrestFetal distress

Laura's pregnant uterus compresses her inferior vena cava and aorta, causing her heart to stop before her scheduled mitral valve surgery. The team must reposition her to relieve the compression.

Grey's Anatomy — S18E13Patient: Laura Eames

Also known as: Neck injury

Impaired mobilityNeed for physical therapy

Farouk is recovering from spine surgery and requires intensive physical therapy to regain mobility and prevent post-surgical complications.

Recurring storyline

Also known as: Open bone fracture

Impaired mobilityNeed for physical therapy

Owen is recovering from two fractures in the same leg sustained in the car accident, requiring aggressive physical therapy. During the episode, he regains the ability to walk.

Grey's Anatomy — S18E13Patient: Owen Hunt
Recurring storyline

Also known as: Parkinson's

A patient who received Meredith's experimental stem cell therapy shows continued improvement in motor skills, with no hand tremor while playing chess, demonstrating the success of the Parkinson's research.

Grey's Anatomy — S18E13Patient: Unnamed patient
Recurring storyline