THE PITT // CASEBOOK
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The Pitt Season 1 Episode 7

Emergency Medicine Case Files & Clinical Analysis

Every emergency department patient from Season 1 Episode 7 of The Pitt, charted with medically accurate clinical documentation, diagnostic workups, and expert clinical pearls.

Episode
Specialty
Showing 3 of 3 cases
Patient in Trauma 2 with active substernal chest pain prior to cardiac arrest.
S01E07 Complex
Adult · Male

Harvey Chang

Substernal chest pain with diaphoresis (10 minutes duration)

Adult male brought to the ED by a coworker after about 10 minutes of substernal chest pain with diaphoresis. Triage EKG showed an anterior STEMI and a Code STEMI was called to Trauma 2. He describes the pain as 'like an elephant is on my chest' and has never had a heart attack before. patient has no known allergies and is taking metformin and rosuvastatin implying type 2 diabetes or prediabetes and hyperlipidemia. Triage blood pressure was 170/92.

CardiologySTEMI +8 more
Nandi presenting with severe agitation and paranoia in the ER.
S01E07 Moderate
20s · Female

Nandi Jawaharlal

Acute altered mental status, paranoia, and erratic behavior in traffic

Patient is a female in her 20s brought to the ED by her roommate, Charis, after wandering into a busy intersection, running in and out of traffic, and yelling at cars and pedestrians. The roommate reports a one-month history of progressive behavioral changes, including severe insomnia, talking to herself at all hours, and possible suicidality. Nandi has no known psychiatric history or recreational drug use. After initial sedation, the patient reported significant physical symptoms accompanying her psychiatric changes: severe bilateral hand tremors (inability to apply makeup), numbness in her feet (peripheral neuropathy), and episodes of depersonalization/derealization.

ToxicologyNeurology +2 more
Patient presenting with left ankle pain after eversion injury.
S01E07 Moderate
Adult · Male

Terrence

Everted ankle during table tennis

Patient presents to the ED after everting his left ankle while playing table tennis. He is highly anxious about an upcoming tournament in six weeks and demands a highly detailed, systematic evaluation. His past medical history is notable for Autism Spectrum Disorder (ASD), making the chaotic, bright ER environment overstimulating and causing him to present as overly rigid and inquisitive (Dr. Google) to the initial provider.

OrthopedicsAutism Spectrum Disorder +2 more