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House

HouseFox

Season 2, Episode 9

6 medical diagnoses portrayed

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Also known as: Bone marrow failure

ImmunosuppressionBleeding risk

The central diagnosis of the episode. Initially missed due to the patient's Munchausen syndrome, the aplastic anemia represents actual bone marrow shutdown causing anemia, low white count, and low platelets. House nearly treats her with a bone marrow transplant before discovering the true cause.

House — S02E09Patient: Anica
Sepsis riskOrgan damage

The actual cause of Anica's symptoms (bruising, anemia, low white count). The bacterial infection was masked by her self-induced Cushing's syndrome which suppressed her immune response and prevented fever. House saves her life by diagnosing this just before a dangerous bone marrow transplant.

House — S02E09Patient: Anica

Also known as: Malingering

Self-harmMedical complications from self-medication

Anica has been faking illnesses for years by self-injecting ACTH and insulin, stemming from childhood trauma when her mother had MS. This psychiatric condition complicates the diagnosis of her real medical problems and drives much of the episode's conflict about whether she's truly sick.

House — S02E09Patient: Anica
Cushing diseasesupporting
Hypertensive crisisImmunosuppressionEasy bruising

Self-induced by Anica through ACTH injections as part of her Munchausen syndrome. The elevated cortisol caused bruising and seizures, and critically suppressed her immune system, masking the bacterial infection by preventing fever.

House — S02E09Patient: Anica

Also known as: Seizure

Anica's presenting symptom at the OTB parlor. Initially thought to be caused by various conditions including Cushing's or alcohol withdrawal, the seizures were actually self-induced through insulin injections as part of her Munchausen syndrome.

House — S02E09Patient: Anica

Also known as: High blood pressure emergency

Stroke riskEnd-organ damage

Anica develops severely elevated blood pressure (240/140) during a lumbar puncture attempt. House argues it's due to stress on top of her Cushing's syndrome, while Foreman initially suspects alcohol withdrawal.

House — S02E09Patient: Anica