TvDx
House

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Season 4, Episode 3

10 medical diagnoses portrayed

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Also known as: SMA

Muscle weaknessReduced lung capacityReduced bone mineral densityDysphagia

Patient with pre-existing SMA develops new acute symptoms that the teams initially attribute to his baseline condition but ultimately prove to be a separate parasitic infection. His underlying SMA complicates the diagnostic process.

House — S04E03Patient: Stark

Also known as: Threadworm infection

SyncopeAspirationKidney failureRespiratory failureDeath

The actual diagnosis causing the patient's acute symptoms including fainting and choking. Contracted during trip to Thailand. Patient dies because his service dog consumed the ivermectin treatment pills, preventing him from receiving proper treatment.

House — S04E03Patient: Stark
Death

The patient's service dog, an English Shepherd with the MDR-1 gene, ingested the ivermectin pills meant for the patient and died from the toxicity. This prevented the patient from receiving treatment for his strongyloides infection.

House — S04E03Patient: Hoover (service dog)

Also known as: Kidney failure

Green-colored blood due to contrast retention

Patient's kidneys failed to filter CT contrast dye, causing his blood to turn green. This was a complication of the untreated strongyloides infection stressing his already compromised system.

House — S04E03Patient: Stark

Also known as: Pneumonia from inhaling vomit

Respiratory failure

Patient developed choking and aspiration due to parasitic infection affecting his swallowing, leading to progressive pneumonia that ultimately contributed to his death.

House — S04E03Patient: Stark
Syncopesupporting

Also known as: Fainting

Recurrent fainting episodes were one of the presenting symptoms caused by the strongyloides infection. The team initially tested this with a tilt table test.

House — S04E03Patient: Stark

Foreman's differential diagnosis for a female patient with fever, lung infiltrates, liver failure, and high lactic acidosis. He argues aggressively for this diagnosis over infection, but ultimately it proves to be infection and he is fired for his risky call despite being right.

Also known as: Electrocution

Cardiac arrestBurns

House deliberately electrocutes himself by sticking a knife in a wall socket to experience near-death, inspired by a patient who described a transcendent experience after clinical death. He suffers cardiac arrest and severe burns.

House — S04E03Patient: House
Cardiac arrestsupporting

Also known as: Heart stopped

House's heart stopped for nearly a minute following his self-inflicted electrocution. Amber successfully resuscitated him.

House — S04E03Patient: House

Also known as: Suicide attempt

A patient who was clinically dead for 97 seconds after a car crash and had a transcendent near-death experience. Wilson evaluates him for suicide risk after he electrocutes himself trying to recreate the experience. The patient later dies from complications.

House — S04E03Patient: Car crash patient