TvDx
Private Practice

Private PracticeABC

Season 4, Episode 21

4 medical diagnoses portrayed

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Also known as: Missed abortion

Incomplete evacuation of embryonic tissueDelayed diagnosis of continuing pregnancy

Patty presents with abdominal pain 2 months after an abortion, only to discover she is still pregnant at 19 weeks. The episode centers on her decision whether to undergo a second-trimester abortion, with extensive debate among the doctors about the ethics and procedure.

Also known as: Head trauma

Increased intracranial pressureCerebral hematoma requiring surgical evacuationComaPotential speech impairment from temporal lobe resection

Betsey is hospitalized after falling down stairs, resulting in an extensive contusion in the left temporal region. Her condition deteriorates requiring emergency neurosurgery to remove a hematoma, and she falls into a coma. The case raises concerns about possible abuse by her foster brother.

Recurring storyline

Also known as: Broken collarbone

X-rays reveal a healed clavicle fracture from approximately 2 months prior, which combined with her current fall raises suspicion of non-accidental trauma and leads to investigation of her foster family situation.

Recurring storyline

Also known as: Callous-unemotional traits

Aggression toward siblingCausing physical harm to others

Marshall, Betsey's 8-year-old foster brother, is revealed through psychiatric evaluation to be deliberately hurting Betsey. He justifies his aggressive behavior as helping discipline her and protecting his mother, showing lack of remorse and patterns of aggression at school.