TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 15

6 medical diagnoses portrayed

Watch on Amazon

Also known as: Gunshot to the leg

Right ventricular perforationLiver lacerationSplenic injury requiring splenectomyBronchial injuryDiaphragm tearVentricular septal defectBowel injuryHemorrhagic shockPopliteal artery thromboembolism

9-year-old boy shot multiple times at a political rally, sustaining life-threatening injuries to heart, liver, spleen, and other organs requiring emergency thoracotomy and massive transfusion protocol. Later develops arterial clot requiring emergency vascular surgery.

Also known as: Head trauma

Cerebral herniationFocal seizuresIncreased intracranial pressureRetained bullet fragmentsMigrating bullet fragment

8-year-old boy shot once in the head at a political rally, requiring decompressive craniectomy and removal of skull to reduce brain pressure. Develops seizures from a migrating bullet fragment that requires innovative endoscopic retrieval.

Also known as: Shock from blood loss

CoagulopathyCritical blood loss requiring massive transfusionHypotension

Patient experiences severe blood loss from multiple gunshot wounds requiring massive transfusion protocol, exhausting hospital blood supply and necessitating emergency donation from his mother and medevac transport from other hospitals.

Also known as: Blood clot in leg artery

Pulseless cold footRisk of limb lossArterial tear during embolectomy

During prolonged surgery for gunshot wounds, Mason develops a clot in his popliteal artery causing loss of pulse to his foot, requiring emergency embolectomy complicated by arterial tear.

Also known as: Pregnancy diabetes test

Lea undergoes routine glucose tolerance testing for gestational diabetes screening during her pregnancy. Results are pending throughout the episode as she waits in the hospital during the mass casualty event.

Recurring storyline
Focal seizuresupporting

Also known as: Partial seizure

Originating from non-injured brain hemisphereSecondary to migrating bullet fragment

Ethan develops focal seizures originating from the left side of his brain (opposite the gunshot injury), caused by a previously undetected bullet fragment that migrated through CSF spaces.