TvDx
New Amsterdam

New AmsterdamNBC

Season 5, Episode 10

7 medical diagnoses portrayed

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Also known as: Narcotic overdose

Respiratory depressionOpioid withdrawal syndromeCoronary artery vasospasm

Vanessa, Lauren Bloom's half-sister, is found unresponsive in the park with pinpoint pupils and slow respirations. She is treated with Narcan and subsequently experiences severe withdrawal symptoms and complications from cocaine toxicity.

New Amsterdam — S05E10Patient: Vanessa
Recurring storyline

Also known as: Cocaine overdose

Coronary artery vasospasmAdrenergic storm

Vanessa develops acute chest pain, hypertension, tachycardia, and diaphoresis from cocaine-induced coronary artery spasm, requiring emergent cardiac catheterization. The diagnosis is initially missed due to the focus on opioid withdrawal.

New Amsterdam — S05E10Patient: Vanessa
Recurring storyline

Also known as: Collapsed lung

A 65-year-old hypertensive male presents unconscious with absent breath sounds on the left and straining left heart on EKG. Successfully treated with left-sided chest tube insertion by Dr. Mika Tan in the ICU.

New Amsterdam — S05E10Patient: Duane Roberts (initially called Elliot by Mika)
Pellagrasupporting

Also known as: Niacin deficiency

An unhoused man with schizophrenia develops worsening aggressive behavior, irritability, and auditory hallucinations due to niacin deficiency from subsisting solely on protein shakes. Symptoms improve with multivitamin supplementation.

Schizophreniasupporting

Also known as: Schizoaffective disorder

Pellagra-induced exacerbation

Harlan has chronic schizophrenia with a history of childhood electroshock therapy at New Amsterdam. His baseline psychotic symptoms are exacerbated by concurrent niacin deficiency, causing him to warn people away from the hospital entrance.

Also known as: Heroin addiction

Polysubstance overdoseSuicidal behavior

Vanessa has chronic substance use disorder involving polypharmacy (oxycodone, methamphetamine, cocaine, marijuana, heroin). Her overdose in front of New Amsterdam appears to be a deliberate act targeting her sister Lauren.

New Amsterdam — S05E10Patient: Vanessa
Recurring storyline

Also known as: Torn main artery

Referenced as Mika's first patient at New Amsterdam who died from a ruptured abdominal aortic aneurysm after she left for the night. This case triggers Mika's subsequent inability to leave the hospital.