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Medical Diagnoses in Chicago Med: A Comprehensive Review of Medical Conditions in Season 5

  • Jan 28
  • 13 min read
Promotional poster for the TV show "Chicago Med," featuring the main cast in scrubs and professional attire standing before a teal-tinted city skyline. A blurred emergency vehicle speeds past in the foreground.
Image credit: Prime Video. Fair use.

Season 5 of Chicago Med intensifies the clinical landscape with a gripping array of cases ranging from baffling infectious outbreaks to complex ethical dilemmas involving end-of-life care and experimental surgeries. As the medical team navigates everything from mass psychogenic illness to the vaping crisis, they are forced to balance cutting-edge medical interventions with the raw emotional weight of patient advocacy.


Below is a detailed review of the primary medical cases and additional diagnoses presented throughout the season.



Episode 1


Severe Hypothyroidism and Pituitary Hyperplasia


Thomas Donovan, a young patient, presented with headaches, fatigue, and peripheral vision loss. Initial imaging suggested a craniopharyngioma pressing on the optic chiasm. Diagnosis and Progression: Dr. Choi noted the patient's slow pulse and small stature, leading to a revised diagnosis of severe hypothyroidism. This condition caused pituitary hyperplasia (enlargement of the organ), which mimicked a tumor. Treatment: The patient was treated with levothyroxine, which successfully shrank the hyperplasia and restored vision without invasive surgery.


Metastatic Adenocarcinoma


Maggie Lockwood discovered a suspicious mass during a routine mammogram. Diagnosis and Progression: A biopsy confirmed metastatic adenocarcinoma. Staging required a PET scan to determine the spread. Treatment: Options included mastectomy or lumpectomy followed by chemotherapy and radiation.


Traumatic Brain Injury (TBI)


Dr. Natalie Manning suffered blunt head trauma and a liver laceration after a vehicle collision. Diagnosis and Progression: While the liver injury was non-operative, she was diagnosed with a TBI characterized by significant retrograde memory loss. Treatment: Management involved intubation during unresponsiveness and monitoring for cognitive recovery.


Other Medical Diagnoses and Conditions Discussed

  • Insulin Overdose: Fatal administration of excessive insulin investigated in a non-diabetic patient.

  • Recurrent Lymphoma: Return of lymphatic cancer after remission.

  • Displaced Rib Fractures: Broken ribs requiring plating or observation.

  • Drug-Induced Psychosis: Delusions and agitation requiring toxicology screening.

  • Cardiac Arrest: Sudden loss of heart function due to trauma or medical interference.

  • Schizophrenia: Chronic mental disorder requiring long-term management.

  • Pneumothorax: Collapsed lung treated with a chest tube.

  • Slashed Carotid Artery: Critical vascular trauma causing massive blood loss.



Episode 2


Mass Psychogenic Illness


Lacey, a high school student, and her classmates presented with seizures and tremors. Diagnosis and Progression: Initially suspected to be an environmental toxin or bacterial meningitis, Dr. Charles identified the condition as Mass Psychogenic Illness caused by extreme academic stress and unconscious imitation. Treatment: Symptoms resolved after the administration of a placebo (orange Tic Tacs). Long-term care involved therapy for anxiety.


Abdominal Compartment Syndrome


Darren, a paramedic involved in a crash, suffered internal bleeding that escalated during a power outage. Diagnosis and Progression: A ruptured pelvic hematoma caused intra-abdominal pressure to rise critically. Treatment: Unable to reach the O.R., doctors performed a bedside thoracotomy and used a REBOA balloon to stabilize hemorrhage.


Coronary Artery Disease


Mr. Lentz presented with chest pain and 70% stenosis that functioned as a 95% blockage. Diagnosis and Progression: The patient required urgent intervention for coronary artery disease. Treatment: An "off-pump" coronary artery bypass was performed on a beating heart due to the power failure.


Other Medical Diagnoses and Conditions Discussed

  • Metastatic Adenocarcinoma: Malignant tumor spreading from glandular tissue.

  • Traumatic Brain Injury (TBI): Brain damage from external force causing memory loss.

  • Gunshot Wound: Penetrating trauma requiring arterial clamping.

  • Eclamptic Crisis: Pregnancy complication characterized by seizures.

  • Breast Cancer: Malignancy treated with lumpectomy and chemotherapy.

  • Hypothermia: Dangerous drop in body temperature exacerbating bleeding.

  • Bacterial Meningitis: Infection of brain membranes requiring isolation.

  • Ventricular Fibrillation (VFib): Disordered heart rhythm treated with defibrillation.



Episode 3


Glioblastoma (GBM) and Cryonic Vitrification


Todd "Shep" Shepard, an 18-year-old with terminal brain cancer, ingested a lethal cocktail of drugs to facilitate cryonic preservation. Diagnosis and Progression: While the physical diagnosis was terminal GBM, the clinical focus was on his decisional capacity. Dr. Charles deemed him incapacitated due to drug-induced personality changes. Treatment: He was initially resuscitated, but support was later withdrawn to honor his wish for cryonic vitrification after his parents accepted the terminal nature of his condition.


Adrenal Insufficiency


Keisha, a burn victim, "crashed" after being sedated for debridement. Diagnosis and Progression: Pigment spots on her feet led Dr. Manning to diagnose adrenal insufficiency. The sedative etomidate had interfered with cortisol production, triggering an adrenal crisis. Treatment: Stabilization was achieved with 100mg of hydrocortisone.


Traumatic Evisceration


Louisa Nash arrived eviscerated following a forced fetal extraction. Diagnosis and Progression: The patient suffered massive blood loss and a uterine laceration from the assault. Treatment: Dr. Marcel performed an extensive surgical repair to save the uterus rather than a hysterectomy.


Other Medical Diagnoses and Conditions Discussed

  • Breast Cancer: Malignancy undergoing chemotherapy.

  • Concussion: TBI requiring monitored recovery.

  • Lymphoma: Progressive lymphatic cancer.

  • Distal Radius Fracture: Wrist bone break with minimal displacement.

  • Neonatal Cyanosis: Oxygen deprivation in a newborn.

  • Chest Laceration: Deep cut to the chest wall.

  • Epidural Bleed: Blood collection between skull and dura mater.

  • Meningitis: Inflammation ruled out via lumbar puncture.

  • Pneumothorax: Lung collapse requiring a chest tube.

  • Leukemia: Cancer of blood-forming tissues.

  • Addison’s Disease: Chronic adrenal insufficiency.

  • Traumatic Brain Injury: Injury causing cognitive impairment.



Episode 4


Necrotizing Fasciitis (Staph Strain E-87)


A severe outbreak of "flesh-eating bacteria" occurred at an apartment building and university lab. Diagnosis and Progression: The pathogen was identified as Strain E-87, a genetically altered Staphylococcus. It caused rapid tissue death and septic shock. Treatment: Aggressive debridement and amputation were required for survival. Antibiotic treatment involved high-dose Gentamicin after Vancomycin proved only bacteriostatic.


Other Medical Diagnoses and Conditions Discussed

  • Septic Shock: Infection leading to low blood pressure and organ failure.

  • Ventricular Fibrillation: Cardiac arrest rhythm managed with CPR and epinephrine.

  • Asystole: Cessation of heart activity.

  • Lyme Disease: Tick-borne illness mentioned in biological weapon theories.

  • AIDS: Chronic immune condition caused by HIV.

  • Psychosis: Loss of contact with reality and paranoid delusions.



Episode 5


Pancreatic Mass and Small Bowel Obstruction


Carl Harris presented with chronic pain and nausea. Diagnosis and Progression: An MRI revealed a solitary mass in the distal pancreas causing a partial bowel obstruction. Treatment: A distal pancreatectomy and splenectomy were performed to remove the mass and prevent perforation.


Bipolar Disorder


Eunice Kim, a law associate, was admitted after days of manic behavior and sleeplessness. Diagnosis and Progression: Dr. Charles diagnosed a manic episode symptomatic of bipolar disorder. Treatment: Initial stabilization with M-TABs followed by long-term medication management and counseling.


Deep Vein Thrombosis (DVT) and Pulmonary Embolism


Neal Bowe developed a swollen calf that progressed to a pulmonary embolism. Diagnosis and Progression: A blood clot traveled to his lungs. Treatment: The patient suffered fatal cardiac arrest before interventional treatment could be completed.


Pneumonia


Lucas, a toddler, presented with wheezing and fever. Diagnosis and Progression: Diagnosed with pneumonia after blood tests showed infection markers. Treatment: Dr. Manning administered antibiotics against the parents' wishes to prevent fatal complications.


Other Medical Diagnoses and Conditions Discussed

  • Cancer (Chemotherapy): Treatment for malignancies.

  • Traumatic Brain Injury (TBI): Injury requiring cognitive monitoring.

  • Irritable Bowel Syndrome (IBS): Gastrointestinal distress.

  • Ulcer: Gastric sore causing pain.

  • Post-nasal drip: Mucus accumulation causing cough.

  • Allergies: Seasonal reaction causing inflammation.

  • Tapeworm: Parasitic infection.

  • Panic Attack: Acute anxiety episode.

  • Sepsis: Systemic infection risk from perforation.

  • Dehydration: Fluid deficit requiring IV replacement.

  • Bacterial Sinus Infection: Respiratory infection.

  • Ear Infection: Common pediatric ailment.

  • Hives: Allergic skin reaction.

  • Breast Cancer: Treated with chemotherapy.



Episode 6


Granulomatosis with Polyangiitis (GPA)


Lucas, a young boy, presented with fever and coughing up blood. Diagnosis and Progression: Initially treated for pneumonia, a biopsy of a rash confirmed GPA, a rare autoimmune disorder. Treatment: The patient was stabilized with plasmapheresis.


Coronary Artery Disease


Claire presented with chest pain and shortness of breath. Diagnosis and Progression: Severe atherosclerosis and a small heart attack were identified. Her feminizing hormone therapy was a complicating factor for clots. Treatment: Stents were placed, and hormone therapy was discontinued to reduce risk.


Splenic Laceration


David Bridges suffered a splenic laceration in a car accident. Diagnosis and Progression: Active internal bleeding persisted despite embolization. Treatment: An emergency blood transfusion was administered after evidence suggested the patient had left the Jehovah's Witness faith.


Other Medical Diagnoses and Conditions Discussed

  • Traumatic Pneumothorax: Collapsed lung treated conservatively.

  • Pneumonia: Respiratory infection.

  • Sepsis: Systemic reaction to infection.

  • Food Poisoning: Illness from contaminated food.

  • Cancer: Malignant disease.

  • Sinus Infection: Nasal inflammation.

  • Bleeding Disorder: Clotting failure.

  • Strep Throat: Bacterial throat infection.

  • Traumatic Brain Injury (TBI): Head injury complications.



Episode 7


Porphyria Cutanea Tarda (PCT)


Tom Lyons presented with blistering skin and photosensitivity, believing he was a vampire. Diagnosis and Progression: Dr. Halstead diagnosed Hepatitis C, which triggered Porphyria Cutanea Tarda. Treatment: Antivirals were prescribed for the underlying infection.


Septic Shock


Sergeant Gina Todd developed an infection at the interface of her bionic arm. Diagnosis and Progression: An abscess caused septic shock. Treatment: Emergency surgical drainage saved her life and the prosthetic limb.


Brain Herniation


Kayla Patten, a 7-year-old trauma victim, suffered a coup contrecoup injury. Diagnosis and Progression: Intracranial pressure spiked, leading to the Cushing reflex and herniation. Treatment: Despite ICP management, the patient died from asystole.


Other Medical Diagnoses and Conditions Discussed

  • Cancer: Malignancy requiring community support.

  • Concussion: TBI with grogginess.

  • Posterior Elbow Dislocation: Joint displacement.

  • Intracranial Pressure (ICP): Pressure buildup in the skull.

  • Cushing Reflex: Sign of massive brain pressure.



Episode 8


Measles and Viral Pneumonia


Ben, a chemotherapy patient, presented with fever and lesions. Diagnosis and Progression: Diagnosed with measles, which progressed to pneumonia due to his immunocompromised state. Treatment: Mandatory quarantine and supportive care.


Renal Clot


Lori Shelton, a transplant recipient, collapsed with a clot in her new kidney. Diagnosis and Progression: A clot blocked blood flow; allergy to contrast complicated the diagnosis. Treatment: Steroids allowed for a CT scan, followed by tPA to break the clot.


Acute Appendicitis


Dennis, a livestreamer, allowed followers to vote on his care. Diagnosis and Progression: Appendicitis progressed to near-perforation and sepsis. Treatment: Surgical appendectomy was performed after consent was obtained.


Other Medical Diagnoses and Conditions Discussed

  • Splenic Laceration: Grade-3 injury requiring splenectomy.

  • Non-surgical Abdominal Distension: Manageable swelling.

  • Epistaxis: Nosebleed.

  • Nephrotic Syndrome: Kidney disorder causing protein loss.

  • Food Poisoning: Abdominal pain cause.

  • Lower Extremity Fracture: Leg bone break.

  • Rib Fractures: Blunt trauma injury.

  • Anaphylactic Shock: Severe allergic reaction.

  • Acute Kidney Distress: Rapid creatinine rise.

  • Septic Shock: Infection leading to hypotension.

  • Psychiatric Crisis: Mental health emergency.



Episode 9


Low Ovarian Reserve


April Sexton underwent fertility evaluations. Diagnosis and Progression: Tests revealed early-onset menopause (low ovarian reserve). Treatment: Immediate IVF was recommended.


Atlantoaxial Instability


Jordy Collins, a patient with Down Syndrome, presented with whiplash symptoms. Diagnosis and Progression: MRI revealed congenital spinal instability. Treatment: High-risk surgical repair was chosen to allow him to continue sports.


Stenosis


Sophie Davis underwent surgery for congenital tricuspid atresia. Diagnosis and Progression: High pulmonary artery pressure was caused by stenosis. Treatment: Angioplasty and fenestration successfully decompressed the pressure.


Other Medical Diagnoses and Conditions Discussed

  • Acute Respiratory Failure: Respiratory collapse requiring intubation.

  • Diabetic Ketoacidosis (DKA): Fatal metabolic crisis.

  • Myocardial Infarction (MI): Heart attack.

  • Uremia: Toxin accumulation in blood.

  • Dialysis Catheter Occlusion: Clotted catheter.

  • Down Syndrome: Chromosomal disorder.

  • Whiplash: Neck injury.

  • Male Infertility: Reproductive issue.

  • Ventricular Fibrillation: Fatal heart rhythm.

  • Asystole: Cardiac flatline.

  • Diffuse Airspace Disease: Lung fluid accumulation.

  • Pulmonary Edema: Fluid in lungs.



Episode 10


Systemic Mastocytosis


Priya Patel suffered recurring "panic attacks" unresponsive to therapy. Diagnosis and Progression: Diagnosed with systemic mastocytosis, a genetic condition mimicking panic attacks exacerbated by fluoxetine. Treatment: Antidepressants were replaced with antihistamines.


Ischemic Bowel


Alex Minguez entered hemorrhagic shock after a car accident. Diagnosis and Progression: Surgery revealed ischemic bowel and mesentery bleeding. Treatment: Bowel resection and vessel clamping.


Opioid Use Disorder


Lynne Driscoll, an addict, overdosed after leaving AMA. Diagnosis and Progression: Severe addiction led to fatal overdose despite rapid detox attempts. Treatment: Resuscitation failed.


Other Medical Diagnoses and Conditions Discussed

  • Low Ovarian Reserve: Infertility cause.

  • Finger Dislocation: Joint trauma.

  • Superficial Partial Thickness Burn: Skin injury.

  • Pneumothorax: Lung collapse.

  • Panic Disorder: Psychiatric condition ruled out.

  • Forearm Laceration: Deep cut.

  • Measles: Viral infection.

  • Cancer in Remission: No active disease.

  • Ventricular Fibrillation: Life-threatening arrhythmia.



Episode 11


Surfactant Protein Deficiency (SP-B)


Mazie, a newborn, presented with cyanosis and respiratory distress. Diagnosis and Progression: Diagnosed with SP-B, a rare interstitial lung disease. Genetic testing revealed an embryo swap error. Treatment: Living-donor lung transplant from her biological parents.


55% TBSA Full-Thickness Burns


A John Doe (misidentified as Dr. Sam Abrams) suffered severe burns and spinal injury. Diagnosis and Progression: Critical burns and paralysis. Treatment: Resuscitated after initial withdrawal of support when true identity was revealed.


Other Medical Diagnoses and Conditions Discussed

  • Infant Hypothermia: Treated with warming blankets.

  • Drug Overdose: Toxic ingestion.

  • Premature Labor: Early birth onset.

  • Placental Abruption: Placenta detachment.

  • Cerebral Edema: Brain swelling.

  • Bradycardia: Slow heart rate.

  • Asystole: Cardiac arrest.



Episode 12


EVALI


Alice Winston, 12, deteriorated after a bus crash. Diagnosis and Progression: Diagnosed with EVALI (E-cigarette or Vaping Associated Lung Injury) exacerbated by trauma. Treatment: Intubation and sedation were required for respiratory failure.


Infective Endocarditis


Mike Monroe, a heroin addict, presented with heart failure. Diagnosis and Progression: Endocarditis and aortic regurgitation destroyed his heart valve. Treatment: Valve replacement was performed after bypassing standard psychiatric clearance protocols.


Other Medical Diagnoses and Conditions Discussed

  • Drug Overdose: Toxic substance amount.

  • Malignancy: Cancerous growth.

  • Internal Hemorrhage: Bleeding into body cavity.

  • Broken Ribs: Thoracic injury.

  • Leukemia: Blood cancer.

  • Severe Anemia: Red blood cell deficiency.

  • Intermittent Dysrhythmias: Irregular heartbeats.

  • Jugular Vein Injury: Neck vein laceration.

  • Kidney Laceration: Renal injury.

  • Depression: Mood disorder.

  • Bipolar Disorder: Mood instability.

  • Influenza: Viral infection.

  • Tachycardic Atrial Fibrillation: Rapid irregular heart rhythm.

  • Expanding Hematoma: Blood collection compressing airway.

  • Airway Compression: Restricted breathing.

  • Carotid Artery Injury: Major artery trauma.

  • Coagulopathy: Clotting impairment.



Episode 13


Crohn’s Disease and Congenital Insensitivity to Pain


Infant Axel presented with crying and weight loss; his mother Julia had a painless fistula. Diagnosis and Progression: Axel had Crohn's disease. Julia was diagnosed with Congenital Insensitivity to Pain (FAAHP1 microdeletion), masking her own Crohn's symptoms. Treatment: GI treatment for Axel and surgery for Julia.


Impulse Control Disorder


Jamie Shaw, 11, violently attacked his brother. Diagnosis and Progression: Diagnosed with unstable mood regulation disorders exacerbated by puberty. Treatment: "Psychiatric lockout" (state custody) was required to fund residential treatment.


Uterine Fibroid


Chloe James presented with obstruction symptoms. Diagnosis and Progression: Large fibroid compressing the rectum. Treatment: Myomectomy performed to preserve fertility.


Other Medical Diagnoses and Conditions Discussed

  • Opioid Use Disorder: Addiction requiring management.

  • Bilateral Mandible Fracture: Jaw break requiring wiring.

  • Fractured Metacarpals: Hand bone breaks.

  • Omphalocele: Congenital abdominal defect.

  • Bilateral Femur Fractures: Thigh bone breaks.

  • Small Bowel Mesentery Tears: Intestinal injury.

  • Shattered Pelvis: Pelvic fractures with hematoma.

  • Severed External Iliac Artery: Fatal vascular injury.



Episode 14


Catatonia


Xavier, thought to be in a vegetative state, exhibited "waxy flexibility." Diagnosis and Progression: Dr. Charles diagnosed catatonia induced by trauma. Treatment: Ventilator disconnected; patient began breathing independently.


Seminal Plasma Hypersensitivity


Nina suffered anaphylaxis after intercourse. Diagnosis and Progression: Diagnosed with an allergy to seminal plasma. Treatment: Epinephrine for acute reaction; condoms and desensitization for long-term management.


Rhabdomyolysis


Rick Tyler developed dark urine after a leg injury. Diagnosis and Progression: Muscle toxins caused renal failure and multi-system organ failure. Treatment: Amputation was authorized too late; patient died.


Other Medical Diagnoses and Conditions Discussed

  • Narcotic Addiction: Substance dependence.

  • Yeast Infection: Fungal infection.

  • Infected Pressure Ulcer: Bed sore.

  • Liver Laceration: Hepatic tear.

  • Renal Failure: Kidney shutdown.

  • Preeclampsia: Pregnancy complication.



Episode 15


Cyanide Poisoning


Derek Jordan presented with abdominal pain and bronchospasm. Diagnosis and Progression: Suicidal ingestion of cyanide. Treatment: Hydroxocobalamin (Cyanokit) administered after confession.


Sickle Cell Crisis


Siana Fredericks, pregnant, suffered a crisis and transfusion reaction. Diagnosis and Progression: Anemia and inflammatory reaction to blood. Treatment: Emergency C-section saved mother and baby.


Digoxin Toxicity


Larry Simpson overdosed on heart medication. Diagnosis and Progression: Bradycardia resistant to external pacing. Treatment: Internal pacing wire and permanent pacemaker.


Other Medical Diagnoses and Conditions Discussed

  • Compartment Syndrome: Muscle pressure leading to necrosis and death.

  • Addiction: Substance struggle.

  • Anemia: Low hemoglobin.

  • Respiratory Failure: Oxygenation failure.

  • Necrosis: Tissue death.

  • Sepsis: Systemic infection response.

  • Bronchospasm: Airway constriction.

  • Kidney Failure: Renal shutdown.



Episode 16


Dyskinesia


Krista Butler presented with involuntary movements. Diagnosis and Progression: Dyskinesia caused by interaction between secret risperidone dosing and hospital anti-nausea meds. Treatment: Haldol for symptoms; psychiatric hold.


End-Stage Liver Disease


Jasmine presented with liver failure signs. Diagnosis and Progression: Required transplant; donor was revealed to be unrelated via malignant hyperthermia history. Treatment: Transplant proceeded despite ethical breach.


Other Medical Diagnoses and Conditions Discussed

  • Opioid Use Disorder: Addiction needing recovery.

  • Pregnancy-related Hemorrhage: Labor emergency.

  • Early-onset Schizophrenia: Psychiatric condition.

  • Dehydration: Fluid imbalance.

  • Malignant Hyperthermia: Anesthetic reaction.

  • Infertility: Failed IVF.



Episode 17


Post-Traumatic Stress Disorder (PTSD)


Mindi Remus was brought in for seizures; her mother was suspected of Munchausen by proxy. Diagnosis and Progression: Dr. Charles diagnosed the mother with PTSD and hypervigilance from Mindi's premature birth, ruling out abuse. Treatment: Family kept together; mental health treatment for mother.


Ovarian Hyperstimulation Syndrome (OHSS)


April Sexton collapsed during IVF treatment. Diagnosis and Progression: Enlarged ovaries and ascites from excessive hormone medication. Treatment: Paracentesis and fluid management.


Other Medical Diagnoses and Conditions Discussed

  • Chronic Abscess: Retained foreign body (car seat foam) from old GSW.

  • Cancer and Remission: Post-treatment state.

  • Respiratory Distress Syndrome: Prematurity complication.

  • Gunshot Wound: Traumatic injury.

  • Ovarian Torsion: Twisted ovary.

  • Vaping-Related Lung Damage: Lung tissue destruction.

  • Substance Addiction: Compulsive dependence.



Episode 18


Urea Cycle Disorder


Joy developed pulmonary edema and seizures. Diagnosis and Progression: High ammonia levels revealed a genetic disorder triggered by protein loading. Treatment: Enzyme supplements and low-protein diet.


Late-Stage Colorectal Cancer


Nick Elms presented with obstruction. Diagnosis and Progression: Familial adenomatous polyposis progressed to cancer. Treatment: TaTME surgery performed; patient died of pulmonary embolism.


Other Medical Diagnoses and Conditions Discussed

  • Acute Renal Failure: Uremia in Alzheimer’s patient.

  • Cirrhosis: Liver failure in foster child.

  • Drug Addiction: Neurochemical dependency.

  • Distal Fibula Fracture: Ankle break.

  • Hyperkalemia: High potassium.

  • Uremia: Blood toxins.

  • Congestive Heart Failure: Poor heart pumping.

  • Binge-Eating Disorder: Psychological condition.

  • Ventricular Fibrillation: Cardiac arrest.

  • Asystole: Flatline.

  • Pulmonary Embolism: Lung clot.



Episode 19


Cervical Insufficiency and Placenta Previa


Marcie Burton, pregnant with terminal brain cancer, presented with bleeding. Diagnosis and Progression: Cervical dilation threatened the pregnancy. Treatment: Abdominal cerclage attempted; patient died during surgery.


Esophageal Varices


Auggie presented with GI bleeding. Diagnosis and Progression: Ruptured varices due to liver failure. Treatment: Emergency TIPS procedure.


Other Medical Diagnoses and Conditions Discussed

  • Major Depressive Disorder: Suspected suicide attempt via fall.

  • Drug and Romance Addiction: Behavioral parallels.

  • Dental Cavities: Preventable decay.

  • Fractured Left Arm: Trauma injury.

  • Blunt Cardiac Arrest: Heart stop from impact.

  • Stroke: Potential crash cause.

  • Ruptured Diaphragm: Organ migration.

  • Tension Pneumothorax: Trapped air.

  • Hepatic Encephalopathy: Liver brain toxicity.

  • Cardiac Ectopy: Irregular rhythm.



Episode 20


Wolff-Parkinson-White (WPW) Syndrome


Trent Sutton collapsed with self-inflicted needles in his chest. Diagnosis and Progression: Needles were used to relieve chest pressure caused by WPW syndrome (extra electrical pathway). Treatment: Surgical removal of needles and correction of the heart defect.


Hemothorax and Clotted Blood


Billy Harris presented with a clotted hemothorax after a bike crash. Diagnosis and Progression: Blood accumulation in the chest. Treatment: Video-assisted thoracoscopy to clear clots.


Other Medical Diagnoses and Conditions Discussed

  • Cracked Ribs: Chest trauma.

  • Diaphragmatic Hernia: Congenital defect.

  • Penetrating Injury: Chest puncture.

  • Cellulitis: Skin infection.

  • Pulmonary Embolism: Lung blockage.

  • Anxiety-Driven Compulsion: Behavioral disorder.

  • Gunshot Wound: Firearm injury.

  • Respiratory Arrest: Breathing cessation.

  • Leukemia: Blood cancer.

  • Allergic Drug Reaction: Immune response.

  • Collapsed Lung: Pneumothorax.

  • Drop Foot: Nerve injury.

  • Addiction: Relapsing disorder.



🔖 Key Takeaways


🗝️ Emerging Public Health Threats: This season highlights modern medical crises, specifically the "flesh-eating" bacterial outbreak (necrotizing fasciitis) and the EVALI (vaping injury) epidemic, demonstrating how environmental and social factors rapidly alter the clinical landscape.


🗝️ Genetic Mysteries: Rare conditions such as Systemic Mastocytosis, Urea Cycle Disorder, and Congenital Insensitivity to Pain underscore the importance of looking beyond obvious symptoms to find the underlying genetic "smoking gun."


🗝️ Ethical Grey Zones: The medical team frequently navigated moral complexities, from performing unauthorized surgeries to save lives (Dr. Halstead with the addict's valve replacement) to the "psychiatric lockout" required to secure funding for a child's mental health treatment.


🗝️ The Impact of Trauma: Physical trauma often revealed deeper issues, such as the mother diagnosed with PTSD rather than Munchausen by proxy, illustrating that patient history is as critical as the physical exam.



Keywords: Medical Diagnoses Chicago Med Season 5

Medical Diagnoses Chicago Med Season 5


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