TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 4

8 medical diagnoses portrayed

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Also known as: Pregnancy-induced high blood pressure with seizure

HypertensionEdemaVision changesFetal distress

Initially diagnosed as preeclampsia in a pregnant woman with twins, but later revealed to be Rh incompatibility. Her hypertension, edema, and vision changes led to emergency treatment with central line placement.

Also known as: Rh disease

Fetal heart rate droppingFetal distressHemolytic disease

The mother is Rh-negative and one fetus is Rh-positive, causing her body to attack the fetus with antibodies due to a previous pregnancy. This drives the major medical crisis requiring delayed interval delivery.

Also known as: Water breaking early

Loss of amniotic fluidPreterm laborFetal distress

One amniotic sac ruptured in the twin pregnancy, creating a crisis where the team must decide between delivering both twins or attempting a delayed interval delivery to save both babies.

Also known as: Skin cancer

Metastasis to liverBile duct leakInfectionPeritonitis

Billy is diagnosed with amelanotic melanoma that has metastasized to his liver, requiring aggressive surgical intervention with multiple complications including bile duct leak and life-threatening infection.

Anaphylaxissupporting

Also known as: Severe allergic reaction

HypotensionCardiac tamponadePericardial effusion

Billy experiences anaphylactic shock during surgery when allergic to the dye used, requiring emergency resuscitation and leading to discovery of cardiac complications.

Also known as: Blood around the heart

Pericardial effusionHemodynamic compromise

Following anaphylactic shock, Billy develops cardiac tamponade from a pericardial effusion requiring emergency pericardiotomy.

Also known as: Lacerated bile duct

Bile leakInfectionPeritonitis

During Billy's cancer surgery, a bile duct leak occurs causing a rapidly progressing infection that threatens his life.

Also known as: Skin abscess from ingrown hair

Billy initially presents with what appears to be a simple abscess from an ingrown hair, which leads to the discovery of his melanoma during biopsy.