TvDx
Grey's Anatomy

Grey's AnatomyABC

Season 20, Episode 4

8 medical diagnoses portrayed

Watch on Amazon

Also known as: VOGM

Heart failureSeizuresBrain injuryDeath

A rare arteriovenous fistula in a fetus's brain where an artery connects directly to a vein, causing dysregulated blood flow. The episode centers on a groundbreaking in-utero brain surgery to embolize the malformation before delivery to prevent heart failure and brain damage.

Grey's Anatomy — S20E04Patient: Vida Madera's fetus

Also known as: GSW to chest

Cardiac arrestPneumothoraxBowel resectionSplenectomyCentral line infection

Patient with three gunshot wounds affecting chest and abdomen, requiring emergency surgery including bowel and spleen removal. He experiences complications including pneumothorax from central line placement and suspected infection.

Pneumothoraxsupporting

Also known as: Collapsed lung

Iatrogenic pneumothorax occurring as a complication of subclavian central line placement, requiring chest tube insertion. This complication serves as a teaching moment for the intern.

Also known as: Line infection

Infection of the subclavian central line requiring removal and replacement, contributing to the patient's deteriorating condition.

Abscesssupporting

Also known as: Infection

Large loculated abscess on patient's back requiring incision and drainage. Started as an ingrown hair and progressed to a four-by-four centimeter abscess requiring deeper surgical intervention.

Cardiac arrestsupporting

Also known as: Heart stopped

Patient experienced cardiac arrest following gunshot wounds, requiring emergency thoracotomy and resuscitation. This is referenced as part of his initial trauma presentation.

Patient's history of two previous miscarriages is mentioned as context for why the current pregnancy and decision about fetal surgery is particularly significant and emotionally charged.

Grey's Anatomy — S20E04Patient: Vida Madera

Also known as: Blocked arteries

Simulated patient in Altman's practice surgery requiring four-vessel coronary artery bypass graft. Used to test Altman's readiness to return to the OR after her own cardiac surgery.

Grey's Anatomy — S20E04Patient: Mock patient (65-year-old male)