Also known as: Uterine infection
Brief mention of a pregnant patient with chorioamnionitis requiring OB consultation at the beginning of the episode.
Also known as: Breech birth
Amy is in active labor at 30+ weeks with a baby in breech position (feet first). Jo Wilson attempts external cephalic version without epidural per patient's birth plan. Baby experiences heart rate decelerations. After emotional counseling about her deceased husband Kevin, Amy allows the procedure and the baby is successfully turned, leading to vaginal delivery of healthy baby girl Scarlett Kevin Ramsey.
Also known as: CHF
Regina Evans presents with CHF, renal failure, and hospital-acquired pneumonia in the setting of polyarteritis nodosa. She develops a superior mesenteric artery aneurysm requiring stent placement. Despite treatment, she suffers a massive pulmonary embolism and dies. Regina was Simone's deceased mother's best friend, making this case emotionally significant.
Also known as: Kidney failure
Part of Regina Evans' complex presentation alongside CHF and pneumonia in the setting of polyarteritis nodosa.
Regina Evans has hospital-acquired pneumonia complicating her underlying polyarteritis nodosa, CHF, and renal failure. She requires supplemental oxygen and bronchodilators.
Also known as: PAN
Regina Evans has polyarteritis nodosa (a rare form of vasculitis) as her underlying condition leading to multiple organ complications including CHF, renal failure, and development of a superior mesenteric artery aneurysm.
Regina Evans develops an aneurysm in her superior mesenteric artery (discovered on CT scan) explaining her vague abdominal pain. Stent placement is planned for the next morning but she dies of PE before the procedure.
Also known as: Blood clot in lung
Regina Evans suffers a massive pulmonary embolism (confirmed by elevated D-dimer) leading to cardiac arrest and death despite resuscitation attempts.
Also known as: Diabetes
Mercedes has diabetes and PCOS. She was hospitalized for diabetic ketoacidosis in March. Her insulin prescription expired and she's been taking supplements instead, leading to high blood sugar (349) and complications.
Mercedes has a severe diabetic foot infection from a stubbed toe that won't heal. The toe is necrotic and falls off during debridement. Bailey performs emergency debridement in an ambulance outside her home to drain the abscess and save her foot. Mercedes avoided seeking care due to fear of immigration enforcement.
Also known as: PCOS
Mercedes has PCOS along with diabetes. Her prescription for both conditions expired months ago, contributing to her current medical crisis.
Also known as: Water breaking early
At the end of the episode, Jo Wilson experiences what appears to be premature rupture of membranes (water breaking) while pregnant with twins at approximately 30 weeks gestation.