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House

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Season 8, Episode 21

4 medical diagnoses portrayed

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Thymomamajor

Also known as: Thymus tumor

Wilson's terminal cancer diagnosis drives the entire episode as he refuses further chemotherapy treatment, preferring to die in five months rather than endure extended treatment. House ultimately convinces him to undergo another round of chemo.

House — S08E21Patient: James Wilson
Recurring storyline
Temporal lobe compressionAuditory hallucinations

A college student with a congenital persistent stapedial artery that failed to regress during embryonic development, causing pressure on his temporal lobe. This leads to auditory hallucinations of his deceased brother's voice, dizziness, nosebleeds, and vision loss from arterial clots.

House — S08E21Patient: Derrick

Also known as: Retinal clot

Vision loss

The patient develops acute vision loss due to a clot in the artery behind his eye, which Adams breaks up. This complication stems from his underlying persistent stapedial artery.

House — S08E21Patient: Derrick

Also known as: Grieving

The patient's mother forced him to repress grief over his brother's death 10 years ago. The team considers whether this psychological trauma is contributing to his physical symptoms and manifestation of auditory hallucinations.

House — S08E21Patient: Derrick