TvDx
House

HouseFox

Season 1, Episode 21

10 medical diagnoses portrayed

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Also known as: Muscle death

Reperfusion injuryCardiac arrestChronic painMuscle cell death with cytokine releaseHyperkalemia

The primary case in the episode is revealed to be House's own leg infarction caused by a clotted aneurysm. Against his wishes while in a medically induced coma, Stacy authorized surgery to remove dead muscle tissue rather than allow amputation or continuation of conservative treatment, resulting in chronic pain and disability.

House — S01E21Patient: House
Recurring storyline
Snakebitesupporting

Also known as: Rattlesnake bite

Allergic reaction to antivenomTissue necrosis

Teaching case disguised as a farmer with leg pain, later revealed to be a dog bite from flesh-eating bacteria. Initially treated as timber rattlesnake bite with multiple antivenoms.

Also known as: Flesh-eating bacteria

Muscle deathRhabdomyolysisAcute kidney injury

The true diagnosis of the 'farmer' case - streptococcal infection from dog bite causing rapid tissue destruction. Patient initially lied about the dog bite to protect his pet from being euthanized.

Rhabdomyolysissupporting

Also known as: Rhabdo

MyoglobinuriaAcute kidney injury

Diagnosed in the drug-seeking patient who presented with leg pain and tea-colored urine. Elevated creatine kinase indicated muscle death releasing toxic myoglobin into the kidneys.

Osteosarcomasupporting

Also known as: Bone cancer

Risk of amputation

Teaching case of 16-year-old volleyball player initially thought to have tendinitis. MRI revealed cancerous tumor on femur requiring surgical removal with possible amputation.

House — S01E21Patient: Susan
Hypothyroidismsupporting

Also known as: Underactive thyroid

DepressionTendinitis

Initially diagnosed in the volleyball player via thyroid nodule found during overly thorough examination. Low T-4 confirmed hypothyroidism contributing to depression and inflammation.

House — S01E21Patient: Susan
Hypercalcemiasupporting

Also known as: High calcium levels

Hypersensitivity to touch

Volleyball player developed elevated calcium levels (over 16) causing severe hypersensitivity to touch. Workup included ruling out parathyroid adenoma.

House — S01E21Patient: Susan

Also known as: Heroin addiction

Teaching case demonstrating drug-seeking behavior in a patient feigning extreme pain to obtain narcotics. Patient returned multiple times despite being identified as drug-seeking.

Cardiac arrestsupporting

Also known as: Heart stopped

Clinical death for over one minute

House experienced wide complex tachycardia progressing to cardiac arrest due to hyperkalemia from reperfusion of dead muscle tissue. Required defibrillation and was clinically dead for over a minute.

House — S01E21Patient: House
Recurring storyline
Lead poisoningsupporting

Also known as: Lead toxicity

Brief mention at end of episode of a clinic patient whose recurrent illness is caused by children playing with lead-based paint. House refuses to see the patient again.