TvDx
The Good Doctor

The Good DoctorABC

Season 1, Episode 8

7 medical diagnoses portrayed

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Also known as: GSW to abdomen

Splenic injuryBowel perforationDiaphragm ruptureHemothoraxSupreme intercostal artery ruptureHemorrhagic shock

Young woman shot during a convenience store robbery. The bullet caused multiple internal injuries including spleen rupture, bowel perforation, and ultimately a critical arterial bleed that nearly killed her. Her case drives the episode's main medical storyline and Shaun's guilt over the incident.

Also known as: SIRS

Acute kidney injuryPulmonary failureMultiple organ dysfunction syndrome

Following her gunshot injuries and surgery, Avery develops SIRS leading to progressive multi-organ failure including kidney and lung dysfunction, requiring dialysis and thoracentesis. This becomes a critical complication driving the latter half of the episode.

Also known as: Fractured windpipe

Airway obstructionSubcutaneous emphysemaPost-operative cervical hematoma

The armed robber sustains a crushed trachea when struck by the store clerk with a bat. This creates immediate airway compromise requiring emergency surgical repair, and later develops a dangerous post-op hematoma that Claire must emergently decompress.

Also known as: Kidney failure

Fluid overloadUremia

As part of Avery's systemic inflammatory response, her kidneys begin to fail, requiring emergency dialysis. This is the first step in her progressive multi-organ failure cascade.

Hemothoraxsupporting

Also known as: Blood in chest cavity

Respiratory failure

Fluid builds up in Avery's pleural space as part of her multi-organ failure, requiring thoracentesis to drain and improve her breathing.

Also known as: Neck swelling with blood

Airway compression

Post-operative complication in the robber patient where swelling and blood collection in the neck compartment compresses his airway, requiring emergency bedside decompression by Claire.

Also known as: Heroin addiction

Opioid toleranceInadequate pain control

The robber patient is revealed to be addicted to opioids, having built up tolerance that makes post-operative pain management challenging. He demands fentanyl and becomes aggressive when refused.