TvDx
House

HouseFox

Season 3, Episode 6

5 medical diagnoses portrayed

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Also known as: Small cell lung cancer

Paraneoplastic neurologic syndromeLymph node metastasisDigital clubbing

A 600-pound man presents in a coma and develops blindness after a brain biopsy. The team eventually discovers he has small cell lung carcinoma causing a paraneoplastic neurologic syndrome, which explains his coma, blindness, fever, and disorientation. The cancer has metastasized and is inoperable.

House — S03E06Patient: George
ComaBlindnessDisorientationLoss of balance

The paraneoplastic syndrome caused by George's lung cancer manifests as multiple neurological symptoms including prolonged coma, sudden blindness following brain biopsy, disorientation, and loss of balance. Anti-hu antibodies confirm the diagnosis.

House — S03E06Patient: George
Morbid obesitysupporting

Also known as: Severe obesity

Equipment limitations for diagnostic testingIncreased surgical risk

George weighs over 600 pounds, which creates diagnostic challenges (cannot fit in standard MRI/CT machines) and becomes a source of tension as the team initially assumes his condition must be obesity-related, while George insists it is not.

House — S03E06Patient: George
Chronic painsupporting

Also known as: Chronic leg pain

Opioid dependenceLegal issues related to prescription medication

House's chronic leg pain and his use of Vicodin become central to the episode when he is arrested for DUI, possession of narcotics, and resisting arrest. His legitimate need for pain medication is questioned, and Wilson must verify the prescriptions are valid.

House — S03E06Patient: House
Recurring storyline

Also known as: Involuntary eye movement

George has had nystagmus since birth, which is initially investigated as potentially related to his coma but is ultimately determined to be unrelated to his current condition.

House — S03E06Patient: George