TvDx
House

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Season 8, Episode 11

14 medical diagnoses portrayed

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Initial differential diagnosis considered for the patient's paralysis in all four extremities, but ruled out based on MRI findings showing no enhancement.

House — S08E11Patient: Bill Koppelman

Also known as: Brain dysfunction from liver failure

Taub's initial theory that liver problems caused the patient's loss of consciousness and inability to move limbs, but was ruled out during differential diagnosis.

House — S08E11Patient: Bill Koppelman

Also known as: NPH

Park's initial theory for the patient's symptoms, but ruled out due to low opening pressure on lumbar puncture rather than normal pressure.

House — S08E11Patient: Bill Koppelman

Also known as: Overactive thyroid paralysis

Diagnosed based on low potassium levels and initially treated with steroids, PTU, and beta blockers. Patient woke from coma after treatment but was later determined to be incorrect diagnosis.

House — S08E11Patient: Bill Koppelman

Also known as: Aspiration pneumonia

Hemoptysis

Patient inhaled hydrofluoric acid from a chemistry demonstration explosion, causing lung burns and hemoptysis. Treated experimentally with aerosolized heparin.

House — S08E11Patient: Bill Koppelman
Brainstem edemasupporting

Also known as: Brain swelling

Theorized as cause of patient's loss of consciousness and paralysis after he hit his head during the explosion, considered as differential but not confirmed.

House — S08E11Patient: Bill Koppelman

Also known as: Steroid psychosis

Patient developed acute psychosis and paranoia as a side effect of steroid treatment, leading to violent behavior where he stabbed Chase during a biopsy attempt. This was used as a diagnostic test.

House — S08E11Patient: Bill Koppelman

Also known as: Invasive strep

Adams' theory that patient's rash indicated invasive streptococcal infection, which led to the biopsy attempt during which Chase was stabbed.

House — S08E11Patient: Bill Koppelman

Also known as: GPA

Park's theory connecting the neurological symptoms, rash, and lung involvement as signs of Wegener's disease, but ultimately ruled out.

House — S08E11Patient: Bill Koppelman

Also known as: Heart tear

Paraplegia

Chase was stabbed by the psychotic patient, with the knife tip penetrating the left ventricle. Required emergency surgery where Taub plugged the hole with his finger until a patch could be applied.

House — S08E11Patient: Robert Chase

Also known as: Spinal cord injury from blocked blood flow

Chase developed paraplegia following his cardiac surgery due to a clot in the radicular artery blocking blood flow to his spinal column. Successfully treated with embolectomy, allowing him to regain movement.

House — S08E11Patient: Robert Chase

Also known as: TLS

Acute kidney injuryCardiac arrhythmiaHemorrhage

The correct final diagnosis. Patient had lymphoma, and the explosion caused cancer cells to rupture, flooding his body with phosphates, potassium, and other substances. This explained all symptoms including paralysis, bleeding, and organ failure. Treated with total body radiation and plasmapheresis.

House — S08E11Patient: Bill Koppelman

Also known as: Cancer of the lymphatic system

Tumor lysis syndrome

Underlying malignancy discovered in patient's lymph nodes that, when disrupted by the explosion, caused tumor lysis syndrome. The tumor itself is being removed and patient expected to make full recovery.

House — S08E11Patient: Bill Koppelman

Also known as: Kidney failure

Patient developed hematuria and kidney failure as a complication of tumor lysis syndrome before the correct diagnosis was made.

House — S08E11Patient: Bill Koppelman