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House

HouseFox

Season 2, Episode 20

10 medical diagnoses portrayed

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Also known as: Behcet's syndrome

UveitisPolyarticular joint painPeptic ulcer disease

Initially diagnosed as the cause of Kayla's joint pain, stomach pain, and uveitis. Treatment with prednisone led to complications including gastric ulcers that were misattributed to Behcet's rather than medication side effects.

House — S02E20Patient: Kayla McGinley

Also known as: Stomach ulcer

HemorrhagePerforationSepsisHepatic artery thrombosisLiver failure

Kayla developed bleeding gastric ulcers that were initially missed by Chase. One ulcer perforated, spilling gastric contents into her abdomen, leading to sepsis and cascading organ failure. This was the central medical error driving the malpractice case.

House — S02E20Patient: Kayla McGinley
Sepsismajor

Also known as: Blood infection

HypotensionHepatic artery thrombosisAcute kidney injuryAcute liver failure

Following gastric perforation, Kayla became septic from peritonitis. The resulting severe hypotension led to blood clots forming in her liver vasculature, causing acute liver failure.

House — S02E20Patient: Kayla McGinley

Also known as: Liver artery clot

Acute liver failure

Sepsis-induced hypotension caused blood clots to form in Kayla's hepatic artery, cutting off blood supply to her liver and causing acute hepatic necrosis requiring emergency transplant listing.

House — S02E20Patient: Kayla McGinley

Also known as: Liver failure

Ascites

Kayla's liver was destroyed by hepatic artery thrombosis following septic shock. This necessitated emergency transplant listing and ultimately a live donor transplant from her brother.

House — S02E20Patient: Kayla McGinley

Also known as: Liver inflammation

Hepatocellular carcinoma

Sam concealed his chronic hepatitis C infection (acquired from a homemade tattoo) to be eligible as a liver donor for his sister. The chronic infection had caused undetected liver cancer.

House — S02E20Patient: Sam (Kayla's brother)

Also known as: Liver cancer

Sam had undiagnosed hepatocellular carcinoma secondary to chronic hepatitis C. When he donated part of his liver to Kayla, the cancer was transplanted with the organ and grew rapidly due to her immunosuppression, ultimately causing her death. Early detection saved Sam's life.

House — S02E20Patient: Sam and Kayla McGinley

Also known as: IPF

House initially tells a clinic patient he has idiopathic pulmonary fibrosis to manipulate him into getting health insurance before revealing the actual diagnosis is just a common cold.

House — S02E20Patient: Chuck (clinic patient)
Uveitissupporting

Also known as: Eye inflammation

Kayla presented with inflammation of the iris, which was unusual enough to initially interest House in her case and pointed toward a systemic vasculitic condition.

House — S02E20Patient: Kayla McGinley

Also known as: Kidney failure

Kayla sustained kidney damage secondary to septic shock and hypotension. This damage was noted as healing but complicated her overall prognosis for transplant eligibility.

House — S02E20Patient: Kayla McGinley