TvDx
The Good Doctor

The Good DoctorABC

Season 3, Episode 14

8 medical diagnoses portrayed

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Also known as: Elongated styloid process

Transient ischemic attackCarotid artery compression

Kayley presents with throat pain, voice loss, syncope, and swallowing difficulty. After ruling out glossopharyngeal neuralgia, Shaun diagnoses Eagle syndrome—an elongated styloid bone impinging on nerves and causing a TIA when it compressed her carotid artery. She undergoes transoral styloidectomy.

Also known as: Mini-stroke

Kayley suffers a TIA during examination when her elongated styloid bone compresses her carotid artery after a sudden head turn. This leads to the definitive diagnosis of Eagle syndrome.

Sepsismajor

Also known as: Blood infection

Bowel perforationSplenic capsule tear requiring splenectomy

Ann presents with severe abdominal pain, fever, and shock symptoms. She is diagnosed with sepsis secondary to colon perforation caused by a home fecal microbiota transplant she performed using her daughter's stool to treat recurrent UTIs.

Also known as: Perforated intestine

SepsisSplenic injury during surgery

Ann's colon is distended and perforated as a complication of an unsafe home fecal transplant procedure. She requires emergency surgery with colonic resection and splenectomy.

Also known as: High cholesterol

Coronary artery diseaseMyocardial infarction

Three-year-old Marla is discovered to have familial hyperlipidemia during stool testing related to her mother's fecal transplant case. Testing reveals 90% narrowing of her left main coronary artery, requiring urgent bypass surgery after she suffers a heart attack.

Also known as: Heart attack

Three-year-old Marla suffers a heart attack when told about her upcoming surgery, secondary to severe coronary artery stenosis from undiagnosed familial hyperlipidemia. She requires emergency coronary bypass surgery.

Also known as: UTIs

Ann mentions having recurrent UTIs that did not respond to antibiotics, which motivated her to attempt a home fecal microbiota transplant using her daughter's stool.

During Kayley's styloidectomy surgery, she experiences temporary cerebral ischemia when a bone fragment compresses her carotid artery. The complication is resolved intraoperatively with no permanent damage.