TvDx
House

HouseFox

Season 8, Episode 4

11 medical diagnoses portrayed

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Also known as: Eye fluid buildup causing vision changes

Initially considered as a diagnosis for the patient's micropsia (seeing things as smaller than normal), linked to type-A personalities, but ruled out after funduscopic exam was normal.

House — S08E04Patient: Thad Barton

Also known as: Visual distortion syndrome

The patient's initial presentation where he experienced micropsia (things appearing small) followed by macropsia (things appearing large) after waking from a nap. Initially diagnosed as a migraine variant affecting the occipital lobe, but later revealed to be part of a more complex condition.

House — S08E04Patient: Thad Barton

Also known as: Lung bleeding

Patient developed a hemorrhagic site in the left lower lobe requiring intubation, which led to multiple differential diagnoses including hyperviscosity syndrome and myelodysplastic syndrome.

House — S08E04Patient: Thad Barton

Also known as: Rapid heart rate

Patient experienced accelerated heart rate and chest tightness initially thought to be a myocardial infarction, leading to cardiac catheterization which showed clean coronary arteries.

House — S08E04Patient: Thad Barton

Also known as: V-tach

Patient developed V-Tach during echo lab, leading to cardiac catheterization, though coronary arteries were found to be clean, pointing to an electrical rather than plumbing problem.

House — S08E04Patient: Thad Barton
Hypoxiamajor

Also known as: Low oxygen levels

Patient wasn't saturating properly during electrophysiology study, raising concerns about respiratory function despite normal appearing vitals.

House — S08E04Patient: Thad Barton
Comamajor

Also known as: Persistent vegetative state

Patient went into a coma during the tilt table test, leading to debate between autonomic dysregulation syndrome versus normal pressure hydrocephalus as the underlying cause.

House — S08E04Patient: Thad Barton

Also known as: Thick blood syndrome

Pulmonary hemorrhageTachycardiaComaMulti-organ dysfunction

The final diagnosis: patient's blood became thick and syrupy from complexes of large Y-shaped antibodies caused by his rheumatoid arthritis. This clogged blood vessels and caused organs to shut down one by one. Treated with plasmapheresis to filter out the antibodies.

House — S08E04Patient: Thad Barton

Also known as: RA

Hyperviscosity syndrome

Patient's underlying rheumatoid arthritis produced the Y-shaped antibodies that caused his hyperviscosity syndrome. Mentioned early in episode when patient insisted on picking up his own lawn despite his arthritis.

House — S08E04Patient: Thad Barton

Also known as: End-stage lymphoma

The patient's wife died of non-Hodgkin's lymphoma four months prior to the episode, which influenced his decision to move the company. Mentioned as potentially misdiagnosed and possibly caused by HTLV-1 virus, though this theory was later ruled out.

House — S08E04Patient: Robin Barton (patient's deceased wife)

Also known as: Liver inflammation

Foreman mentions he has hepatitis C and gave it to someone else (implied to be a past romantic partner), revealed during a conversation about loyalty and consequences.

House — S08E04Patient: Eric Foreman
Recurring storyline