TvDx
House

HouseFox

Season 4, Episode 11

7 medical diagnoses portrayed

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Also known as: Femoral artery injury

HemorrhagePotential leg loss

A crew member at the South Pole research station severs his femoral artery, requiring emergency field repair by the patient/doctor using medical glue in freezing conditions.

House — S04E11Patient: Sean (station mechanic)
Frostbitesupporting

Also known as: Frostbite

The mechanic experiences frostbite during his injury in the extreme Antarctic cold, though described as 'not too bad.'

House — S04E11Patient: Sean (station mechanic)

Also known as: Collapsed lung

Respiratory distressTracheal deviation

The patient develops a spontaneous pneumothorax (right lung collapse) with tracheal deviation, requiring emergency self-administered needle decompression while trapped at the South Pole.

House — S04E11Patient: Dr. Cate Milton

Also known as: Fat in bloodstream

Acute kidney injuryPneumothoraxIncreased intracranial pressureAltered mental status

The episode's central diagnosis: fat emboli from an undiagnosed broken toe (hidden by cold-induced numbness) leak bone marrow into the bloodstream, causing multi-organ damage including kidney failure, lung collapse, and increased intracranial pressure leading to coma.

House — S04E11Patient: Dr. Cate Milton

Also known as: Kidney failure

Bilateral kidney failure

The patient develops declining kidney function in both kidneys, initially suspected to be from kidney stones or autoimmune disease, ultimately revealed to be caused by fat emboli from her broken toe.

House — S04E11Patient: Dr. Cate Milton

Also known as: Brain pressure

ComaAltered mental status

Fat emboli cause increased pressure in the brain, leading to coma. The station mechanic performs an emergency burr hole procedure (cranial drilling) under House's remote guidance to relieve the pressure.

House — S04E11Patient: Dr. Cate Milton

Also known as: Broken toe

Fat embolism syndrome

The underlying cause of all symptoms: an undiagnosed broken toe, made painless by extreme cold, allows bone marrow to leak and cause fat emboli throughout her body. Discovered only when House insists on removing her socks during examination.

House — S04E11Patient: Dr. Cate Milton