Also known as: Testicular cancer
Quinn, a transgender girl, presents with abdominal pain initially suspected to be appendicitis but is discovered to have testicular cancer requiring radical inguinal orchiectomy. The case becomes complicated when she develops testicular torsion during surgery planning, requiring emergency surgery, during which she experiences retroperitoneal hemorrhage.
Also known as: Transgender
Quinn is a transgender girl on puberty blockers (leuprorelin) who has been living as a girl for a year following a suicide attempt. The central conflict involves her desire for bilateral orchiectomy for gender confirmation versus her parents' decision to preserve fertility options, complicated by her grandmother's accusations of child abuse.
Also known as: Bone thinning
Quinn has developed osteopenia as a side effect of taking puberty blockers (leuprorelin) for nine months, requiring discontinuation of the medication and dietary supplements.
Also known as: Twisted testicle
Quinn develops acute testicular torsion as a complication of her testicular tumor, with the spermatic cord twisting and cutting off blood supply, requiring emergency surgery.
Also known as: Ruptured appendix
Howard, a single father and teacher, presents with syncope and abdominal pain. He is found to have a ruptured appendix requiring emergency appendectomy, later complicated by post-operative abscess and antibiotic-resistant C. diff infection.
Also known as: C. diff
Howard develops antibiotic-resistant C. difficile infection post-appendectomy due to his self-medication with multiple antibiotics from his medicine cabinet. He is treated successfully with fecal microbiota transplant (FMT) to avoid permanent colostomy.
Also known as: Sterility
Dr. Andrews and his wife Isabel are struggling with infertility. Tests reveal Marcus has low sperm count and low motility, creating tension in their relationship as Isabel had delayed trying to conceive due to career priorities.
Also known as: Internal bleeding
During Quinn's orchiectomy, she develops retroperitoneal hemorrhage when the testicular artery retracts into the pelvis, requiring emergency exploratory laparotomy to identify and control the bleeding.