TvDx
House

HouseFox

Season 6, Episode 4

9 medical diagnoses portrayed

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Also known as: Congenital colon nerve disorder

Initially suspected as the cause of Jack's constipation and abdominal pain. A barium enema and biopsy were ordered, but this diagnosis was later ruled out as seizures and other symptoms developed.

House — S06E04Patient: Jack Randall

Also known as: Increased pressure in the skull

SeizuresFixed lateral rectus palsyPotential brain herniation

Jack develops dangerously elevated intracranial pressure causing seizures and requiring emergency burr holes to be drilled to prevent brain herniation. Multiple shunts are placed to drain subdural fluid.

House — S06E04Patient: Jack Randall
Brain neoplasmsupporting

Also known as: Brain cancer

Suspected based on the pattern of fluid collection and abnormal dural findings. A dural biopsy was performed but came back negative, ruling out this diagnosis.

House — S06E04Patient: Jack Randall
Gastric cancersupporting

Also known as: Stomach cancer

Considered as an explanation for pain, constipation, and nutritional deficiencies. Endoscopic examination and biopsies of the stomach and esophagus were performed but showed no masses.

House — S06E04Patient: Jack Randall

Theorized that seizures manifesting as abdominal pain preceded the motor seizures. Jack was started on gabapentin and continuous EEG monitoring, but this was ruled out.

House — S06E04Patient: Jack Randall

Also known as: PAN

Considered when a rash appeared along with fever and elevated diastolic pressure. A testicular biopsy was planned to look for inflammation, but this diagnosis was abandoned.

House — S06E04Patient: Jack Randall
Degos diseasesupporting

Also known as: Malignant atrophic papulosis

Micro-vascular breakdown in brain, skin, and GI tract

Initially diagnosed as the cause of Jack's symptoms based on atrophic papules on the penis and vascular changes. The team delivers the devastating news that it's incurable and fatal within a day.

House — S06E04Patient: Jack Randall

Also known as: Antiphospholipid antibody syndrome

Coronary eventCardiac arrestObstructed blood vessels

The correct final diagnosis reached after Jack suffers cardiac arrest. House realizes the large vessel involvement rules out Degos. Treatment with heparin and IV immunoglobulin is successful and saves Jack's life.

House — S06E04Patient: Jack Randall
Ascitessupporting

Also known as: Abdominal fluid buildup

Jack continuously accumulates peritoneal fluid requiring shunts to drain it, a symptom that contributes to the diagnostic mystery throughout the episode.

House — S06E04Patient: Jack Randall