Professional Documents
Culture Documents
House
By: Laura Davis
Axia College
December 6,2009
House: Episode 7
“Teamwork”
Hank: I have severe headaches and
sensitivity to light.
House: Test him for STD panel, a toxin
screen, C- Reactive Protein, ANA, and a
lumbar puncture.
Foreman: He is having muscle spam and
pain while the spinal tap was being
performed. Put him on Demerol.
House: Episode 7
“Teamwork”
Foreman: Hank may be suffering from
cerebral vasculitis.
House: Start him on steroids and get a
brain angiogram, an EEG and a nerve
biopsy.
Chase is to perform the angiogram, as it
turns out Cameron and Chase suspect
Hank of suffering from Vitamin D
deficiency. Chase starts Hank on light
therapy and intravenous vitamin
replacement. Hank has a nosebleed
and is found that he has petechia in his
House: Episode 7
“Teamwork”
Cameron diagnosed Hank with
disseminated intravascular coagulation.
House: I agree with Cameron so lets start
Hank on heparin and a broad spectrum
antiboitic.
Hank is running a fever. Taub suggest that
he has a infection hidden in is sinuses.
Chase: lets perform a sinus surgery to
clear the sinuses. Hank complain of
severe abdominal pain.
House: Episode 7
“Teamwork”
Cameron discovers fluid in the abdomen
so she is diagnosing him with liver
failure.
Foreman suggests that Hank has
sclerosing cholangitis.
House: Orders an ERCP. They discover a
large clump of worms in the bile duct.
House gives him mebendazole to kill the
worms.
House: Episode 7
“Teamwork”
Hanks condition is getting worse. He has
developed pulmonary edema.
Chase is thinking it may be a combination
of hematological problem and
cardiomyopathy.
Foreman thinks he has lymphoma with
peritoneal carcinomatosis and
paraneoplastic syndrome.
House: Start him on chemotherapy.
House: The paitent is urinating blood and
his blood pressure and heart rate is off
the charts.
House: Episode 7
“Teamwork”
House: Hank is in cardiac arrest! I got him
stable.
House: the test results shows that Hank
hardly has any red blood cells, white
blood cells or platelets.
Now the team thinks it may be
hypopituitarism, renal cell
carcinoma,aleukemic leukemia.
House: I am putting in an order to destroy
his bone marrow in hopes of a bone
marrow transplant.
House: Episode 7
“Teamwork”
Thirteen and Taub says it is
extraintestinal Crohn’s disease.
The team all agrees that it is
extraintestinal Crohn’s disease. They
put worms back in to see if that is what
it was. The diagnoses was correct.
References:
http://www.politedissent.com/page/2
Medical Language book from the course.