TvDx
The Pitt

The PittHBO

Season 2, Episode 4

11 medical diagnoses portrayed

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Also known as: DKA

Loss of consciousnessHypoglycemia management

Construction worker brought in after falling at work site due to DKA complications from rationing insulin due to lack of health insurance. Central to episode's healthcare access theme.

The Pitt — S02E04Patient: Orlando Diaz

Also known as: Posterior STEMI

Cardiac arrestPulseless ventricular tachycardia

Patient with chest pain initially not showing STEMI on standard 12-lead EKG. Whitaker's decision to perform posterior leads revealed the STEMI, and patient suffered cardiac arrest requiring defibrillation before emergency catheterization.

The Pitt — S02E04Patient: Jean Samba

Also known as: Head laceration

Altered mental statusRetrograde amnesiaProlonged loss of consciousness

23-year-old parkour athlete who fell 10 feet through skylight, presenting with altered consciousness and repetitive questions. Required intubation and imaging. Complicated by hidden glass fragment causing hemorrhage.

The Pitt — S02E04Patient: Vince Cole
Hemorrhagesupporting

Also known as: Bleeding

HypotensionHemorrhagic shock

Delayed arterial hemorrhage when medical student removed glass fragment from patient's flank during examination, requiring hemostatic sponges and IR consultation.

The Pitt — S02E04Patient: Vince Cole

Also known as: Brain infection

Altered mental statusCombative behavior

Law student brought in by campus police after becoming violent and combative, requiring sedation and Taser deployment. Workup including lumbar tap performed to rule out viral encephalitis as cause of behavioral changes.

The Pitt — S02E04Patient: Jackson Davis

Also known as: Pneumonia from inhaling vomit

HypoxiaFever

Young professional woman with cough and fever, X-ray showing right lower lobe infiltrate. Investigation revealed aspiration pneumonia caused by repeated self-induced vomiting from undiagnosed bulimia nervosa.

The Pitt — S02E04Patient: Phylicia Ronson

Also known as: Bulimia

Aspiration pneumoniaDental enamel erosion

Patient's aspiration pneumonia traced to eating disorder with self-induced vomiting that recurred after college breakup. Episode highlights underdiagnosis of eating disorders in Black women.

The Pitt — S02E04Patient: Phylicia Ronson
Dental abscesssupporting

Also known as: Tooth abscess

Recurring homeless patient with apical abscess requiring incision and drainage, highlighting ongoing lack of access to dental care.

The Pitt — S02E04Patient: Louie
Recurring storyline
Coccyx fracturesupporting

Also known as: Broken tailbone

Patient with fractured tailbone treated with manual reduction procedure to realign fragments and accelerate healing.

Cellulitissupporting

Also known as: Skin infection

Treatment failure with oral antibiotics

Restaurant worker with foot cellulitis that failed to respond to oral Keflex, requiring return visit for IV antibiotics. Possible MRSA or resistant infection.

The Pitt — S02E04Patient: Debbie Cohen
Gastroenteritissupporting

Also known as: Food poisoning

Pediatric patient with stomach pain and headache after taking ibuprofen on empty stomach, requiring evaluation for gastritis.

The Pitt — S02E04Patient: Harlow