TvDx
House

HouseFox

Season 4, Episode 16

12 medical diagnoses portrayed

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Also known as: Flu medication overdose

TachycardiaHepatic failureRenal failureVentricular fibrillationIrreversible cardiac structural damage

Amber took amantadine for flu symptoms, but her kidneys (destroyed in the bus crash) could not filter the drug, leading to toxic accumulation. This caused progressive multi-organ failure including tachycardia, hepatic failure, and ultimately irreversible heart damage leading to her death.

House — S04E16Patient: Amber Volakis

Also known as: Kidney failure

Inability to filter amantadineRequirement for dialysis

Amber lost both kidneys in the bus crash trauma, requiring dialysis. This renal failure prevented her body from filtering out the amantadine she had taken for flu symptoms, leading to fatal drug toxicity.

House — S04E16Patient: Amber Volakis

Also known as: Rapid heart rate

Ventricular fibrillationIrreversible structural heart damage

Amber's heart rate reached 130 bpm and wouldn't slow down, caused by amantadine toxicity. The prolonged tachycardia led to ventricular fibrillation and ultimately irreversible structural damage to her heart.

House — S04E16Patient: Amber Volakis

Also known as: V-fib

Cardiac arrestNeed for therapeutic hypothermia

Amber's tachycardia degenerated into ventricular fibrillation, requiring the team to use therapeutic hypothermia and bypass to prevent brain death while searching for a diagnosis.

House — S04E16Patient: Amber Volakis
Liver failuresupporting

Also known as: Liver failure

JaundiceMulti-organ failure

As the amantadine toxicity progressed, Amber developed hepatic failure evidenced by jaundice, indicating the poison was spreading to multiple organ systems.

House — S04E16Patient: Amber Volakis

Also known as: Severed femoral artery

Amber's femoral artery was damaged in the bus crash and required surgical repair as part of her initial trauma management.

House — S04E16Patient: Amber Volakis

Also known as: Head laceration

Retrograde amnesiaSkull fractureIntracranial hemorrhageComplex partial seizure

House suffered head trauma in the bus crash leading to skull fracture and amnesia. His attempts to recover memories through deep brain stimulation widened the fracture, causing a brain bleed and seizure, leaving him comatose.

House — S04E16Patient: Gregory House

Also known as: Memory loss

House lost four hours of memory from the night of the bus crash, preventing him from initially identifying Amber as the critically ill patient. He used risky procedures including hypnosis and deep brain stimulation to recover the memories.

House — S04E16Patient: Gregory House

Also known as: Heart attack

House mentions having had a heart attack in the morning, likely related to the stress and injuries from the bus crash, limiting his ability to take additional medications.

House — S04E16Patient: Gregory House
Skull fracturesupporting

Also known as: Fractured skull

Widening of fractureIntracranial hemorrhage

House's skull fracture from the bus crash was worsened by the seizure during deep brain stimulation, leading to a brain bleed.

House — S04E16Patient: Gregory House

Also known as: Brain bleed

ComaPotential cognitive impairment

The seizure during deep brain stimulation widened House's skull fracture, causing a brain bleed that left him in a coma with uncertain prognosis for cognitive recovery.

House — S04E16Patient: Gregory House

Also known as: Seizure

Widened skull fractureBrain bleed

House suffered a complex partial seizure during deep brain stimulation, with violent shaking that widened his skull fracture and caused a brain bleed.

House — S04E16Patient: Gregory House