Neurology Cases From THE PITT

6 cases 5 episodes · S01E01 – S02E15

All emergency department cases involving Neurology from The Pitt, documented with medically accurate clinical timelines, diagnostic workups, and expert clinical pearls.

Patient arriving via ambulance with severe preeclampsia symptoms.

S02E15 Complex

30s · Female

Judith Lastrade

10/10 headache and blurred vision at 36-37 weeks gestation

Judith Lastrade is a G1P0 female at approximately 36-37 weeks gestation who presents via EMS with a 2-day history of a worsening headache, now rated 10/10, accompanied by blurred vision and significant pitting edema. She has had a 'wild pregnancy' with absolutely no prenatal care, intending to have a 'free birth' without medical intervention. Symptoms were completely refractory to pre-hospital fentanyl administration.

ObstetricsNeurology +6 more

Eddie Cohen sitting awkwardly after his wife's MVA.

S02E12 Complex

84 · Male

Eddie Cohen

Unsteady gait and cognitive/motor slowing (Noted by physician; originally presented as an uninjured driver in a low-speed MVA).

84-year-old male who presents to the ED accompanying his wife, whom he accidentally backed his car into at low speed. The patient initially denies any injuries or complaints. However, the attending physician observes an unsteady gait, slow movements, and balance issues. The patient's daughter reports a recent decline in both parents' mobility and mentions the patient has a complex medical team ('a whole team of -ologists').

GeriatricsNeurology +2 more

Patient actively seizing in the waiting room chair, with Nurse Mateo securing him to prevent fall trauma and calling for a gurney.

S01E05 Moderate

Adult · Male

Mr. Marino

Sudden collapse followed by continuous generalized seizures

Patient is an adult male with no known medical history who presented after suddenly dropping to the floor without warning. Initial neuro exam and vitals were reported as normal, but he subsequently developed a continuous generalized tonic-clonic seizure while in the waiting room chair. Total seizure time exceeded 4-5 minutes, qualifying as status epilepticus.

NeurologyEmergency Medicine +1 more

S01E02 Complex

18 · Male

Nick Bradley

Found unresponsive in bed by parents

18-year-old college student found unresponsive in his bed by his mother. No known medical history, no daily medications, no known allergies. Found barely breathing with pinpoint pupils and a heart rate of 38. Prehospital EMS administered Narcan which improved pupillary response, but the patient failed to breathe spontaneously and required endotracheal intubation. No obvious signs of trauma, and no drugs or alcohol were reported on the scene. Later collateral history from a classmate revealed he had volunteered to pick up illicit 'Xanax' for a study group to help them sleep, confirming a counterfeit pill ingestion resulting in a massive fentanyl overdose.

ToxicologyOverdose +4 more

Patient arriving via EMS with LMA in place.

S01E01 Complex

42 · Male

Sam Wallace

Blunt head trauma with agonal respirations after fall onto subway tracks.

42-year-old male brought in by EMS. Jumped onto the T (subway) tracks to rescue a woman who had fallen. After successfully pulling her off the tracks, he slipped while climbing back up the platform, fell backward, and struck his head. EMS noted agonal respirations. They were unable to intubate in the field and placed an LMA (Laryngeal Mask Airway) prior to transport.

TraumaNeurology +2 more

Lethargic 4-year-old male upon ED arrival.

S01E01 Moderate

4 · Male

Tyler Jones

Lethargic and Unarousable 4-year-old boy brought to the ED by his parents.

4-year-old male with no past medical history, no antecedent illness, no fever, and no vomiting. Brought to the ED because his parents could not wake him up in the morning. Usually a highly active child. No apparent access to locked medications, no known trauma, and no sick contacts at his preschool.

PediatricsToxicology +2 more