Initial Symptoms: Man with nystagmus + syncope + dysgeusia
Diagnosis: Chagas disease (Kutner)
Contributions by Team
House (1): Realizes patient's niceness is a neurological symptom
Cameron (0): None
Chase (0): None
Foreman (0): None
Kutner (2): Runs VDRL test, diagnosis for Chagas disease
Taub (0): None
Thirteen (1): Idea to perform bubble test to test for heart defect
Notes: Given that Cameron was working the ER without nurses, she can be forgiven for classifying a fainting patient as "low priority".
I'm assuming that all of the patient's symptoms were caused by Chagas disease, because chronic infection can cause heart and intestinal problems as well as the encephalitis that caused the neurological problems. Thirteen therefore gets credit for thinking of heart problems and proposing the bubble test, which when performed appears to have triggered Kutner's epiphany about Chagas disease. Kutner is awarded a point for running the VDRL test for neurosyphilis because Chagas disease also yields a false positive with this test; so do many other conditions, but that wasn't mentioned on the show.
Labels: Season 4