Also known as: Nosebleed
Initially considered as the source of hemoptysis (blood in lungs from nosebleed draining posteriorly). Patient had history of nosebleed from being hit in nose during volleyball coaching. Ruled out as primary diagnosis.
Also known as: Red bacteria infection
Initially diagnosed due to patient coaching volleyball in gym with dirty showers. Serratia produces red pigment that could mimic bloody cough. Quickly ruled out when actual blood was confirmed.
Also known as: Fungal lung infection
Suspected due to finding dead cat and poor living conditions in hoarded home. Would explain hemoptysis, headache, and chest pain if aspergillomas formed. Ruled out when patient worsened in hospital despite treatment.
Diagnosed after finding raccoon feces in kitchen cupboard of hoarded home. Both husband and wife treated with doxycycline. Husband recovered but wife developed additional complications, indicating a second diagnosis was needed.
Also known as: Heart attack
The wife (Nina) suffered a heart attack while being treated for Q fever, indicating a separate underlying condition. This symptom helped lead to the final diagnosis of Ehlers-Danlos syndrome.
Also known as: EDS
Final diagnosis for the hoarding wife. Explains her multiple miscarriages (three pregnancy losses), heart attack, and other symptoms. The recurrent miscarriages were the psychological trigger for her hoarding behavior.
Also known as: Hoarding
Central to the episode's plot. Nina's severe hoarding created dangerous living conditions (no running water, electricity, gas, accumulation of garbage and animal waste) that led to Q fever. Triggered psychologically by repeated miscarriages from Ehlers-Danlos syndrome.
Also known as: Huntington's disease
Thirteen reveals she euthanized her brother who had advanced Huntington disease, which she also carries. Her brother had lost control of his body and mind but had moments of lucidity where he asked her to end his life. This is the crime she went to prison for.