TvDx
House

HouseFox

Season 4, Episode 6

7 medical diagnoses portrayed

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Also known as: Polio

ParalysisRespiratory failure

Drag racer presents with seizures, visual/auditory processing deficiency, and progressive paralysis. Diagnosed as polio (though later revealed to be fabricated), treated with high-dose vitamin C. The polio diagnosis drives the main medical mystery of the episode.

House — S04E06Patient: Casey Alfonso

Also known as: Heavy metal poisoning

SeizuresParalysisNeurological symptoms mimicking polio

House reveals at the end that Brennan poisoned the patient with thallium to fake polio symptoms, allowing him to demonstrate vitamin C as a cure and generate research funding for polio treatment.

House — S04E06Patient: Casey Alfonso

Also known as: Brazil nut poisoning

FatigueVomitingSkin irritationFingernail dischargeHair loss

CIA operative initially suspected of assassination attempt via radiation poisoning. House determines he consumed excessive Brazil nuts during his assignment in Brazil, causing selenium toxicity that mimicked radiation sickness symptoms.

House — S04E06Patient: John

Also known as: MFS

AreflexiaRespiratory failure

Initially considered diagnosis for the drag racer due to weak deep tendon reflexes and vertical nystagmus, though quickly ruled out when symptoms progressed.

House — S04E06Patient: Casey Alfonso

Also known as: MS

Foreman's favored diagnosis for Casey based on neurological symptoms and MRI findings. He pushes for interferon treatment, creating conflict with the team who suspect lupus.

House — S04E06Patient: Casey Alfonso

Also known as: Lupus

Several team members favor lupus diagnosis based on elevated sed rate and weakly positive ANA. They treat with steroids against Foreman's orders, creating team conflict.

House — S04E06Patient: Casey Alfonso

Also known as: Blood cancer

NeuropathyInfections

House's initial diagnosis for the CIA operative before determining the actual cause was selenium poisoning. Treated briefly with plasmapheresis and chemotherapy.

House — S04E06Patient: John