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House

HouseFox

Season 2, Episode 19

9 medical diagnoses portrayed

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Also known as: AIDS

AnaphylaxisPericardial effusion

Kalvin is an HIV-positive patient who initially presents with weight loss, fever, and shortness of breath. His HIV has progressed to AIDS, but his T-cell count has rebounded to 200 after medication changes, complicating his diagnosis.

House — S02E19Patient: Kalvin Ryan

Also known as: Parasitic cysts from fox hunting

Pericardial effusionLiver cystsAnaphylaxis

The parasitic cysts from echinococcus (contracted from fox hunting in Montana) form masses in Kalvin's heart and lungs, mimicking lymphoma. His father also has liver cysts from the same parasite, initially misdiagnosed as cirrhosis.

House — S02E19Patient: Kalvin Ryan

Also known as: Fluid around the heart

Kalvin develops bleeding around his heart, causing cardiac tamponade symptoms. Initially thought to be blood from a reopened lung tear, it turns out to be caused by the parasitic cysts.

House — S02E19Patient: Kalvin Ryan
Berylliosissupporting

Also known as: Beryllium disease

Considered as a diagnosis when the team discovers Kalvin is a photographer with old fluorescent bulbs containing beryllium. Ruled out after lung biopsy and spectrographic analysis.

House — S02E19Patient: Kalvin Ryan

Also known as: End-stage lymphoma

Initially believed to be the diagnosis due to masses in the heart and lungs in an HIV-positive patient. Ultimately ruled out when the masses are confirmed to be parasitic cysts from echinococcosis.

House — S02E19Patient: Kalvin Ryan
Hemoptysissupporting

Also known as: Coughing up blood

Blood exposure to Cameron

Kalvin coughs up blood that gets into Cameron's eyes and mouth, creating HIV exposure risk and significant emotional impact. The bleeding is from a ruptured blood vessel in his lung related to the parasitic cysts.

House — S02E19Patient: Kalvin Ryan
Cirrhosissupporting

Also known as: Liver scarring

Kalvin's father is believed to have cirrhosis, but House determines the liver symptoms are actually caused by echinococcal cysts mimicking cirrhosis. The father's blood test confirms the parasitic diagnosis.

House — S02E19Patient: Kalvin's father

Also known as: Heroin addiction

Kalvin regularly uses crystal meth and ecstasy as part of 'Party and Play' culture. The drug use is investigated as a possible cause of his symptoms and reflects his self-destructive behavior following his mother's death.

House — S02E19Patient: Kalvin Ryan
Mycoplasmosissupporting

Also known as: Mycoplasma infection

House diagnoses Stacy's rat with a mycoplasma infection causing head tilt and respiratory symptoms, aggravated by exposure to cigarette smoke in the house.

House — S02E19Patient: Steve McQueen (rat)