THE PITT // CASEBOOK
☕ Support This Project

The Pitt Season 1 Episode 4

Emergency Medicine Case Files & Clinical Analysis

Every emergency department patient from Season 1 Episode 4 of The Pitt, charted with medically accurate clinical documentation, diagnostic workups, and expert clinical pearls.

Episode
Specialty
Showing 5 of 5 cases
Five-month-old infant presenting with inconsolable crying.
S01E04 Brief
5 months · Female

Unknown

Inconsolable crying and irritability.

A 5-month-old female infant is brought to the ED by her mother for inconsolable crying. The mother reports no fever, vomiting, or cough. The infant is feeding well. She was born full-term via normal delivery and is up to date on her 2-month and 4-month childhood vaccinations. The mother mentions she showered before nursing the baby.

PediatricsHair Tourniquet +2 more
Jia Yi Chen in the ED exam room with her father, preparing for the physical examination.
S01E04 Moderate
12 · Female

Jia Yi Chen

6 weeks of constant pain in the suprapubic area, increasing in severity.

12-year-old female presents to the ED accompanied by her father with a 6-week history of constant suprapubic pain. The pain has progressively worsened from a 2/10 to a 7/10. Patient reports primary amenorrhea, though she has developed secondary sexual characteristics (breast development, widening hips). She denies fever, dysuria, nausea, vomiting, and vaginal discharge. A urine pregnancy test was performed and is negative.

PediatricsGynecology +2 more
Kristi presents to the ED after missing their appointment.
S01E04 Brief
17 · Female

Kristi Wheeler

Seeking medication abortion.

Kristi Wheeler is a 17-year-old female (G1P0) presenting to the ED with her mother, Lynette, for a scheduled medication abortion. They initially had an appointment with Dr. Abbot at 06:30 but overslept and arrived hours later. The patient's last menstrual period (LMP) was approximately the 23rd of June. She denies any known drug allergies and has no prior surgical history.

OB/GYNPregnancy +1 more
Patient anxiously clutching her left ear.
S01E04 Brief
Adult · Female

Peggy Baylock

Sensation of a live bug moving inside the ear

Patient presented to the ED screaming and highly agitated, complaining of something actively moving inside her ear. She was unable to remain still due to the intense discomfort and panic associated with the sensation.

ENTForeign Body +2 more
Patient Wendell Stone in the ED on a nasal cannula. The background monitor displays tachycardia (HR 115) and significant hypoxia (SpO2 85%).
S01E04 Moderate
52 · Male

Wendell Stone

Isolated left chest trauma from a crush injury.

52-year-old male, chief rigger for a music festival, brought in by EMS after a speaker tower fell on his left side. EMS reports isolated trauma to the left chest with obvious multiple rib fractures. Received 50mcg of Fentanyl in the field.

TraumaThoracic +3 more