THE PITT // CASEBOOK

Surgery Cases From THE PITT

4 cases 3 episodes · S01E01 – S02E14

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

Patient presenting with American flag pole impaled in right chest.
S02E14 Brief
34 · Male

Barrett Dunkle

Penetrating chest trauma with retained foreign body

34-year-old male presents to the ED via EMS following a bar fight over a game of pool at a sports bar. He sustained a penetrating thoracic injury when an adversary impaled him in the right chest with an American flag pole. The object remains in situ. Patient is awake, alert, and combative on arrival.

TraumaThoracic Surgery +2 more
Provider performing costovertebral angle (CVA) percussion on Mr. Green.
S02E09 Complex
Middle-aged · Male

Mr. Green

Left flank pain

Patient presents to the ED with left-sided flank pain that began at 10:00 p.m. the previous night. He has a history of kidney stones and states this episode feels exactly the same as prior occurrences. He notes his urine is 'a bit darker than normal' but denies fever or gross hematuria. He suspects he is dehydrated.

UrologyRenal Colic +7 more
Patient awaiting surgical consult for SBO.
S01E01 Moderate
40 · Male

Unknown

Abdominal pain, lack of bowel movements (Small Bowel Obstruction)

Patient presented overnight with symptoms suggestive of a small bowel obstruction (SBO). He has been boarding in the emergency department for over three hours waiting for a surgical consult. Initial conservative management with magnesium citrate to stimulate bowel activity failed.

GastroenterologyGeneral Surgery
Left shoulder with entry wound from 9mm gunshot.
S01E01 Brief
30s · Male

Virgil Straker

Gunshot wound to the left shoulder

Patient sustained a 9mm gunshot wound to the left shoulder. He was evaluated overnight. CT angiogram was negative for vascular injury. The surgical team requested overnight observation, and he has been boarding in the ED.

TraumaGunshot Wound +1 more