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House MD Guide :: Blogs & Answers ::   Performance Reviews:
House's Team

Season 5, Episodes 12-16

5.12 Painless

Initial Symptoms: Man with chronic pain
Diagnosis: Epilepsy (Thirteen)

Contributions by Team
House (4): Realizes patient has attempted suicide by blowing air into his IV, idea for spinal block procedure, realizes patient drank rubbing alcohol in suicide attempt, diagnosis for epilepsy
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Orders CT test which finds intestinal edema + air in blood vessels
Kutner (0): None
Taub (0): None
Thirteen (2): Diagnosis for pulmonary embolism, suggests non-motor seizures

Notes: I'm fuzzy on this, but I believe that what Thirteen was suggesting when she said "non-motor seizures" is what House eventually diagnosed him with. Therefore, Thirteen gets the credit.
The patient attempted suicide twice in the hospital. These were not considered diagnoses unto themselves, but House received credit for deducing the attempts.

5.13 Big Baby

Initial Symptoms: Woman coughing blood
Diagnosis: Patent ductus arteriosus (PDA) (House)

Contributions by Team
House (2): Orders bleeding test, diagnosis for PDA
Cameron (0): None
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (1): Finds pleural effusions with ERCP test
Taub (0): None
Thirteen (0): None

Notes: Cameron loses a point for allowing House to cut off the top of the patient's head. (There's a sentence I never thought I would type.)

5.14 The Greater Good

Initial Symptoms: Woman with spontaneous pneumothorax + history of uterine myoma
Diagnosis: Endometriosis (House)

Contributions by Team
House (1): Diagnosis for endometriosis
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Spots something on MRI (I'm not sure what it really was, he thought it was a granuloma)
Kutner (1): Spots increased interstisal markings on CT
Taub (1): Sees patient is bleeding into her abdominal cavity
Thirteen (0): None

Notes: The liver failure was never explained. Was it because she was bleeding from her hepatic artery?
The part about the patient scratching through her skull may have been taken from this story.
Foreman and Thirteen didn't contribute much to the differential because they had their own drama going on.

5.15 Unfaithful

Initial Symptom: Man with hallucination
Diagnosis: Alcoholism (House) + Wiskott-Aldrich Syndrome (House)

Contributions by Team
House (2): Diagnosis for alcohol abuse, diagnosis for Wiskott-Aldrich Syndrome
Cameron (1): Diagnoses alcohol abuse
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (0): None
Taub (2): Finds patient has pneumocystis (indicative of compromised immune system), suggests hyper IgE syndrome (genetic immune disorder)
Thirteen (0): None

Notes: The patient enters the ER with a hallucination, which Cameron attributes to alcohol abuse. House brings the case to the team as a "fake", which everyone quickly figures out. The patient ends up getting sick for real (his toe falls off), and the hallucination is considered the first symptom. House finally diagnoses the patient by attributing the hallucination to alcohol. Therefore House is credited with diagnosing the patient, but Cameron receives a point too.

5.16 The Softer Side

Initial Symptoms: Child with genetic mosaicism + severe abdominal pain
Diagnosis: Dehydration (Foreman) + kidney damage (House) + poisoning from MRI contrast (House)

Contributions by Team
House (2): Realizes patient's kidneys are damaged from energy drinks, diagnosis for dye poisoning
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Diagnosis for dehydration
Kutner (0): None
Taub (0): None
Thirteen (2): Sees patient is in cardiac tamponade, notices patient's palms are red indicating kidney damage

Notes: It's confusing but I'm attributing the patient's initial symptom, abdominal pain, to dehydration + kidney damage from energy drinks (and seriously, how much of that stuff was he drinking?) and his subsequent symptoms to poisoning from the MRI contrast.
Unlike House himself, I'm not docking him a point for giving the patient the MRI which caused his illness.
I don't remember if Chase was the surgeon who found the gastric fistula caused by necrotizing pancreatitis. He gets a point if it was.
Thirteen loses a point for telling the parents that their son was suicidal when he wasn't and for giving the patient the truth about his condition. I'm docking her this point because it caused a rift between a seriously ill child and his parents, right when he most needed to trust them.
House was absent for part of the case.



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