TvDx
House

HouseFox

Season 5, Episode 7

8 medical diagnoses portrayed

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Also known as: Fear of public places

The patient's severe agoraphobia prevents him from leaving his house for seven years following a traumatic shooting. This condition creates the central medical challenge of diagnosing and treating him without bringing him to the hospital, driving the entire episode's plot.

House — S05E07Patient: Stewart Nozick

Also known as: PTSD

Initially suspected as the cause of the patient's agoraphobia following being shot and losing his girlfriend seven years ago. However, the patient reveals he had anxiety issues predating the trauma, though the PTSD likely exacerbated his condition.

House — S05E07Patient: Stewart Nozick

Also known as: Seizure

The patient presents with three seizures in two days, which becomes the initial medical mystery. Eventually revealed to be caused by lead poisoning from retained bullet fragments.

House — S05E07Patient: Stewart Nozick

Also known as: Blocked intestine

Risk of intestinal rupture

The patient develops severe abdominal pain from a partial small bowel obstruction, requiring surgical intervention. This complication forces the team to perform surgery in his home to avoid triggering his agoraphobia.

House — S05E07Patient: Stewart Nozick

Also known as: Lead toxicity

SeizuresPeripheral neuropathyConstipationAbdominal painCardiac complications

The final diagnosis reveals that retained bullet fragments from his shooting seven years ago had begun dissolving, causing chronic lead poisoning. This explains all his symptoms including seizures, bowel obstruction, peripheral neuropathy, and cardiac issues.

House — S05E07Patient: Stewart Nozick

Also known as: Nerve damage, numbness

The patient develops numbness in his legs while on antibiotics for suspected Whipple's disease. This new symptom helps the team rule out previous diagnoses and points toward the eventual diagnosis of lead poisoning.

House — S05E07Patient: Stewart Nozick

Also known as: Abnormal EKG

Cardiac arrestBradycardia

The patient suffers cardiac arrest with pulseless electrical activity (PEA), requiring CPR and defibrillation. After resuscitation, he develops bradycardia requiring a temporary pacemaker. This cardiac complication is ultimately caused by lead poisoning.

House — S05E07Patient: Stewart Nozick

Also known as: Delusional infestation

Self-inflicted wound

Wilson diagnoses House with delusional parasitosis after House obsessively scratches what he believes is a mosquito bite into a suppurating wound. Wilson suggests this is psychosomatic, representing House's avoidance of addressing his feelings about kissing Cuddy.

House — S05E07Patient: House