TvDx
The Resident

The ResidentFox

Season 4, Episode 7

10 medical diagnoses portrayed

Watch on Amazon

Also known as: Impalement injury

HemothoraxDiaphragm ruptureInternal bleeding

Captain Hill suffers penetrating injuries from a climbing accident, requiring emergency field stabilization by Conrad and subsequent surgical repair. The trauma is complicated by a migrating bullet from a decade-old war injury.

The Resident — S04E07Patient: Captain Nate Hill
Hemothoraxsupporting

Also known as: Blood in chest cavity

Respiratory distressHypotension

Nate develops hemothorax from his penetrating chest trauma, requiring chest tube placement in the field and draining approximately 800cc of blood.

The Resident — S04E07Patient: Captain Nate Hill

Also known as: Bullet in chest

Transient ischemic attackStroke riskMigration

A bullet lodged near Nate's spine from a war injury a decade ago has migrated to his carotid bifurcation, causing stroke symptoms and requiring urgent surgical removal to prevent a massive stroke.

The Resident — S04E07Patient: Captain Nate Hill

Also known as: Mini-stroke

Risk of progression to stroke

Nate experiences stroke symptoms including facial numbness and lightheadedness caused by the migrated bullet at his carotid bifurcation.

The Resident — S04E07Patient: Captain Nate Hill

Also known as: Hip deterioration

Severe chronic painLoss of mobility

Rose develops avascular necrosis of the hip from repeated sickle cell crises blocking blood flow to the bone, causing severe pain and requiring hip replacement surgery.

The Resident — S04E07Patient: Rose Williams

Also known as: Sickle cell

Avascular necrosisVaso-occlusive crisisChronic painTransfusion-related complications

Rose has sickle cell disease causing repeated crises and complications. Her condition makes surgery riskier and leads to a life-threatening reaction to blood transfusion during her hip replacement.

The Resident — S04E07Patient: Rose Williams

Also known as: Blood transfusion reaction

Severe anemiaTachycardiaHypotensionCardiac arrhythmia

Rose develops antibodies from previous transfusions causing her body to attack transfused blood during surgery, leading to severe anemia and cardiac instability requiring matched blood from the Red Cross.

The Resident — S04E07Patient: Rose Williams

Also known as: Irregular heartbeat

Hemodynamic instabilityNeed for cardioversion

Rose develops unstable tachycardia as her heart works overtime to compensate for severe anemia, requiring cardioversion to restore normal rhythm.

The Resident — S04E07Patient: Rose Williams

Also known as: Central line complication

Hemorrhage into pleural cavityHypovolemiaLoss of anesthesia medicationVena cava puncture

During a complex quadruple heart valve replacement, the central line punctures the vena cava, causing hidden bleeding into the lung cavity and loss of anesthesia medication, discovered and repaired by Dr. Okafor.

The Resident — S04E07Patient: Patient undergoing quadruple valve replacement

Also known as: Arm nerve injury

Loss of hand functionUncertain return to surgical practice

Cain's medial cord was completely severed and lateral cord partially lacerated, with only 50% chance of regaining full hand function, threatening his surgical career.

The Resident — S04E07Patient: Barrett Cain
Recurring storyline