TvDx
House

HouseFox

Season 4, Episode 8

5 medical diagnoses portrayed

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Disseminated intravascular coagulationMulti-organ bleedingCardiac arrestRenal failureSeizures

The central mystery of the episode. A magician experiences cardiac arrest while performing a water tank escape, followed by widespread internal bleeding and multi-system organ failure. The diagnosis is revealed to be lupus causing autoimmune production of blood type B antibodies, which combined with his natural type A blood to create a type AB blood signature, leading to transfusion reactions and DIC when given the wrong blood type.

House — S04E08Patient: Finn (magician)

Also known as: DIC

Internal bleeding in intestinesBleeding around heart (hemopericardium)Kidney hemorrhageThigh hemorrhage

The patient develops widespread bleeding throughout multiple organs (intestines, spleen, heart, kidneys, thigh) caused by DIC secondary to transfusion reactions from undiagnosed lupus-induced blood antibodies.

House — S04E08Patient: Finn (magician)

Also known as: Heart stopped

The presenting symptom that brings the magician to the hospital - his heart stops while performing an underwater escape trick. Initially attributed to drowning, later revealed to be caused by the underlying lupus.

House — S04E08Patient: Finn (magician)

Also known as: Kidney failure

HyponatremiaSeizures

The patient's kidneys shut down as part of the multi-system failure caused by lupus and DIC, leading to sodium deficiency and seizures.

House — S04E08Patient: Finn (magician)

Also known as: Huntington's disease

Revealed that Thirteen's mother died of Huntington's disease, giving Thirteen a 50% chance of having the condition. This subplot explores her decision not to get tested for the genetic disease, which becomes a major character arc throughout the series.

House — S04E08Patient: Thirteen (Dr. Remy Hadley)
Recurring storyline