TvDx
The Pitt

The PittHBO

Season 1, Episode 9

11 medical diagnoses portrayed

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Miscarriagesupporting

Also known as: Pregnancy loss

A character experiences a miscarriage and emotional distress, with spotting and an empty uterus confirmed. This affects the character emotionally throughout the episode but is not the central medical focus.

Also known as: Molly overdose

HyperthermiaHypertensionTachycardiaSeizure disorderHyponatremia

Patient brought from music festival with altered mental status, extreme hyperthermia (107.3°F), hypertension, and tachycardia requiring ice bath cooling and massive doses of Ativan. Develops seizure from hyponatremia requiring emergent saline treatment.

The Pitt — S01E09Patient: Keely Ralston

Also known as: Low sodium

Seizure disorder

Critical complication of MDMA overdose with sodium of 112, causing seizure. Treated with hypertonic saline. Result of excessive water consumption at festival without electrolyte replacement.

The Pitt — S01E09Patient: Keely Ralston
Fight bitesupporting

Also known as: Human bite to hand

Joint space infection riskJoint penetration

Woman punches another woman in the mouth during altercation, sustaining bite wound that penetrates the knuckle joint space (confirmed by saline injection test). Requires IV antibiotics and operative washout due to infection risk from oral bacteria.

Dental fracturesupporting

Also known as: Broken tooth

Woman sustains type 2 tooth fracture into dentin from being punched during fight in waiting room. Treated with dental cement and antibiotics, requires dental follow-up for crown.

Also known as: Hit by car

Road rashPossible knee injury

Man walking dog struck by car at low velocity, thrown and slides 10 feet causing extensive road rash. Requires removal of embedded gravel and X-ray to rule out knee injury. Stable with no major internal injuries.

The Pitt — S01E09Patient: Walter Pernell

Also known as: Postpartum uterine infection

Septic shockLoss of consciousness while drivingMotor vehicle collisionSternal fracture

Postpartum patient initially misdiagnosed with UTI, actually has progressive endometritis that causes septic shock. She loses consciousness while driving, crashes car, and deteriorates in ED requiring intubation and ICU admission. Purulent cervical drainage confirms diagnosis.

The Pitt — S01E09Patient: Paula

Also known as: Broken breastbone

Pleuritic chest pain

Patient sustains sternal fracture from seatbelt during motor vehicle collision after losing consciousness from sepsis. Causes chest pain and contributes to altered mental status.

The Pitt — S01E09Patient: Paula
Concussionsupporting

Also known as: Mild traumatic brain injury

Altered mental statusAmnesia for event

Patient sustains concussion from motor vehicle collision with altered mental status and inability to remember the crash. Head CT shows no serious findings but contributes to clinical picture.

The Pitt — S01E09Patient: Paula
Chlamydiasupporting

Also known as: Chlamydia

Young patient treated for chlamydia with doxycycline. Physicians concerned about her safety and potential abuse situation, attempt to provide resources and help.

The Pitt — S01E09Patient: Piper
Recurring storyline
Schizophreniasupporting

Also known as: Schizoaffective disorder

Altered behavior when off medicationsUrinated on staff member

Unhoused patient with schizophrenia caused by methamphetamine use, currently clean one year. Off antipsychotic medications due to lack of insurance and housing. Arranged to receive monthly injectable antipsychotic through street team outreach.

The Pitt — S01E09Patient: Dennis Whitaker (Mr. Krakozhia)