Storyboard Presentation of

House
 By: Laura Davis
 Axia College
 December 6,2009


 I have two Episodes of House Episode 1:

Ignorance of Bliss, and Episode 2:
Teamwork.

House: Episode 8 “Ignorance
is Bliss”
 James: My hand is tremoring and I am
losing coordination, and I have a mild
cough.
 Chase: The CT scan was negative and
also the screen for toxins.
 Chase to Foreman: The differential
diagnosis is the West Nile Virus,
meningitis, sickle cell anemia, or TTP.
 Chase: Foreman check a blood smear and
Adam TS13 antibodies.

House: Episode 8 “Ignorance
is Bliss”
 Foreman: The blood smear shows
schistocytes (fragmented red blood
cells), a sign of TTP.
 Chase: plasmapheresis is treatment of
choice, but James is allergic to one of
the components of the procedure, so
instead they perform a splenectomy.
 Chase: He is showing symptoms of a
stroke.
House: Episode 8 “Ignorance
is Bliss”
 Chase: Rush him to the cath lab.
 Foreman: right away
 Taub: Removes the blood clot and the
blood flow is restored and there is not
permanent brain damage.
House: Episode 8 “Ignorance
is Bliss”
 Chase: since James has had a stroke this
means he did not have TTP. He may
have CNS vasculitis, DIC, acquired
pancytopenia, or toxin exposure.
 Chase and Taub: are sent to check out
James’s apartment.
 Thirteen and Foreman are expanding
toxicity screen.

House: Episode 8 “Ignorance
is Bliss”
 Chase to Taub: hey we found the
apartment has mice and a bottle of
booze.
 Taub: James may have Leptospirosis
 Chase: James has to have liver failure
from the alcohol abuse.
 Chase: let’s do a liver biopsy
 Taub: The tests show the liver is normal
 Thirteen: What about renal failure?
House: Episode 8 “Ignorance
is Bliss”
 Thirteen: The reasons for the kidney
failure could be rhabdomyolysis,
multiple myeloma, polycystic kidney
disease, or Goodpasture’s Syndrome.
 Chase: start him on immunosuppresant
drugs and dialysis for Goodpasture’s
Syndrome
 Wilson: I was talking with James and he is
abusing Robitussin DM.
House: Episode 8 “Ignorance
is Bliss”
 James: I have no feelings in my legs.
 Foreman: James has no feeling in the
legs.
 Foreman: you could be lacking vitamin
B12.
 Chase and Foreman: James could have
lupus or bone marrow malignancy.
House: Episode 8 “Ignorance
is Bliss”
 House: James what is going on ?
 James: I have been abusing
dextromethorphan. I have tried to
commit suicide. By jumping off of a tall
building.
 House: What kind of injuries did you have
from that?
 James: Broken ribs, I got addicted to a
narcotic pain medication. that is how I
found Robitussin DM
House: Episode 8 “Ignorance
is Bliss”
 House to Chase: after the attempt of
suicide he injured his spleen causing it
to multiple into smaller spleens.
 Chase: I was right about TTP. I just
needed to get all of the spleen.
 Chase: we will remove the rest of the
spleen.
 James: Surgery again.
House: Episode 8 “Ignorance
is Bliss”
 Chase: Yes, we have to remove all of the
smaller spleens. When you fell off of
the building your spleen was injured
and multiplied into smaller ones.
 Foreman: James is resting and will be
discharged in a few days



 House: Episode 7
“Teamwork”
 Hank: I have severe headaches and
sensitivity to light.
 House: Test him for STD panel, a toxin
screen, C- Reactive Protein, ANA, and a
lumbar puncture.
 Foreman: He is having muscle spam and
pain while the spinal tap was being
performed. Put him on Demerol.

 House: Episode 7
“Teamwork”
 Foreman: Hank may be suffering from
cerebral vasculitis.
 House: Start him on steroids and get a
brain angiogram, an EEG and a nerve
biopsy.
 Chase is to perform the angiogram, as it
turns out Cameron and Chase suspect
Hank of suffering from Vitamin D
deficiency. Chase starts Hank on light
therapy and intravenous vitamin
replacement. Hank has a nosebleed
and is found that he has petechia in his
 House: Episode 7
“Teamwork”
 Cameron diagnosed Hank with
disseminated intravascular coagulation.
 House: I agree with Cameron so lets start
Hank on heparin and a broad spectrum
antiboitic.
 Hank is running a fever. Taub suggest that
he has a infection hidden in is sinuses.
 Chase: lets perform a sinus surgery to
clear the sinuses. Hank complain of
severe abdominal pain.
 House: Episode 7
“Teamwork”
 Cameron discovers fluid in the abdomen
so she is diagnosing him with liver
failure.
 Foreman suggests that Hank has
sclerosing cholangitis.
 House: Orders an ERCP. They discover a
large clump of worms in the bile duct.
 House gives him mebendazole to kill the
worms.
 House: Episode 7
“Teamwork”
 Hanks condition is getting worse. He has
developed pulmonary edema.
 Chase is thinking it may be a combination
of hematological problem and
cardiomyopathy.
 Foreman thinks he has lymphoma with
peritoneal carcinomatosis and
paraneoplastic syndrome.
 House: Start him on chemotherapy.
 House: The paitent is urinating blood and
his blood pressure and heart rate is off
the charts.
 House: Episode 7
“Teamwork”
 House: Hank is in cardiac arrest! I got him
stable.
 House: the test results shows that Hank
hardly has any red blood cells, white
blood cells or platelets.
 Now the team thinks it may be
hypopituitarism, renal cell
carcinoma,aleukemic leukemia.
 House: I am putting in an order to destroy
his bone marrow in hopes of a bone
marrow transplant.
 House: Episode 7
“Teamwork”
 Thirteen and Taub says it is
extraintestinal Crohn’s disease.
 The team all agrees that it is
extraintestinal Crohn’s disease. They
put worms back in to see if that is what
it was. The diagnoses was correct.

 References:
 http://www.politedissent.com/page/2
 Medical Language book from the course.