Doctors Shocked By Pregnant 12 Year Old | House M.D. | MD TV

Yow. Fever. Does that mean I have it? You have a rash? Come on. It's from my new bathing suit. I've had it a week. Yeah. Does your neck hurt? If it does, you have to try it back down. It's nothing. I pulled it trying to do a three and a half tuck. For your parents. We live in Chicago. I'm here with my coach. I wanted to see what you were writing. Go like this? No. Not like this. Maybe something systemic. Or maybe it's meningitis. She's had the rash a week. If it was this meningitis, she'd be dead by now. You guys figure we're done down there? The 800 people milling around or just waiting for the bathroom? Twelve-year-old female. Fever, rash, neck pain. It's not meningitis. It's the definition of meningitis. Sure. Puss in the spinal canal makes it hurt to move your head up and down. But her neck only hurts moving side to side. What's side to side? Doesn't fit. The three of you lobby now. Those little pills you're passing out so efficiently aren't going to do Ms. Louganis squat. You just don't want to deal with the epidemic. That's right. I'm subjecting a 12-year-old to a battery of dangerous and invasive tests to avoid being born. Okay, maybe I would do that, but I'm not. If it turns out she's got meningitis, you're right. You win. But if we go back downstairs and she dies, your face will be so red. You have one hour. Hey. You okay? How's your head feeling? She's got a headache and she's dizzy. She shouldn't have been moved after the procedure. I'm sorry. I'm fine. What did the test show? No meningitis and no other infections. But you're not carrying a blue form. I have something else, don't I? Something's causing you symptoms. We're going to keep you here overnight. I know it's a little crazy in here, but hopefully you'll settle down and we'll be able to get you a room. I'm sorry. I'm not usually all emotional like this. I just... You're doing great. Your folks land in a few hours. I just... I haven't slept in so time. Oh my God, my eye's bleeding. What is it? What's happening? Oh, don't worry. The antibiotic we gave you in case you had meningitis can turn your tears reddish. That's not blood. That? That's blood. So when do they think you're getting out of here? I don't know. You don't look sick. You better hope you're not. This equipment looks like it's a hundred years old. Just got it out of storage. It is the previous generation, but it works just fine. Could you guys give us a sec? If it's good news, you can tell them. Okay. We're pretty sure it's not cancer. Hey, that's great. I'll call your parents. Oh, we still can't release her. We still don't know yet exactly what's causing the... Oops. Larry? What's wrong? She's having an absence seizure. Larry, you okay? She looks fine. I need some help over here. Push two milligrams. Are you sure it was an absence seizure? Absolutely. She was totally unresponsive and unaware of what was going on around her. Do you mind? We're trying to work. We should get back out there. Cutty's going to be looking for us. Looking but not finding. Did you do an EEG? Seizure frequency is increasing. They're almost constant now. Five in the last half hour. Which tells us... It's definitely in her brain. That's getting worse. And? Good lord. Are you having a bowel movement or a baby? Could be barbiturate withdrawal. No, can't be drugs. She's tested at every meat she competes at. A bleed in the brain could cause seizures. Rot poison. Could also cause the neck pain. You think she's eating off the floor of a false garage? Doesn't have to be. Who would poison a 12-year-old? Well, let's see now. There's the 18-year-old has-been that she beat out to make national. The has-been's parents. Jealous sibling. Sociopathic swim fan. And then there's just your plain old garden variety whack job. Hey. You know what a hemorrhoid is? No. Well, Google it. Try some Raisin Bran instead of the donuts. Do a CT scan and check for intracranial bleeding. Not a chance. Radiology's totally swamped. If our patient's bleeding into her brain, she's gonna be dead in eight hours. She could be. But a meningitis patient will be without a CT scan. When I was in med school, I had this old professor. Who touched you in the naughty place? Before the CT scan was introduced, he specialized in transcranial ultrasound. Hm. Ancient. But if there's enough bleeding, it might work. Okay. Do what the guy who didn't specialize in neurology said. It was my idea. You were right. There's a significant bleed in her temporal lobe. But no poisons. Detox screens on her blood, urine, and hair. Nothing. Didn't twice. He's a little dehydrated. Put him on a saline drip and give him some orange juice. I need an operating room and a neurosurgeon. Oh, well, given the current crisis, I'm tempted to say no. But since you've been so sweet to me today... Our little mermaid is bleeding into her temporal lobe. How fast do you need her prepped? Twenty minutes. You'll have a surgeon in the room in ten. We're missing something. What? Wouldn't be missing. Maybe she's adopted and we've got the wrong history. She's got our mom's eyes and a red patch of hair, just like Dad. What about an allergic reaction? Could explain the rash and muscle pain, but probably not the bleeding or seizures. That's a lot of balloons. You think she's allergic to polyester? Not unless she's been competing in the nude all these years. Then, what are you thinking? What do the balloons mean? What if the rash isn't a rash? What are you talking about? Who gave her the balloons? Some of the girls from her team. I've been visiting her pretty regularly, but none of them are sick. What about the guys? None of them are sick either. Which guys visited her? Actually, none. She's cute. She's nice. She's a kick-ass diver. Guys would be falling over themselves to get close to her. She's twelve. The youngest guy on her team is sixteen. Okay, so maybe they're just not interested. Or, they're avoiding her. Are there any cell fragments in her blood smears? No. Her blood cells were intact. Check him again. Blood looks like it's been put through the blender now. You done yet? You were right. The rash wasn't a rash. She's bleeding into her skin. It's papara. Thrombotic thrombocytopenia. Papara? Starts with T. You were so close. What could have set it off? She had no traces of E. coli in her culture. She's obviously not menopausal, so no estrogen. There is one other possible cause. Oh, God. Pregnancy causes all kinds of chemical and biological changes in a woman's body. Or a girl's body. That's the case, maybe. In extremely rare cases, everything goes haywire. It's called TTP. Blood starts clotting like crazy and clogs the vessels in your brain and kidneys. Red blood cells end up getting shredded as they squeeze past the clot. I'm sure you know what that's like. We're only 12, but you're all grown up, right? Rooms. Getting room service with your teammates. Maybe someone sneaks in a couple of beers. Start playing spin the bottle. Next thing you know, you're waking up with nothing on but your socks. It wasn't like that. Of course not. You wanted it. Yeah. I did. He turned out to be a jerk, but I... Actually, under New Jersey law, the term is a felon. I knew what I was doing. We're going to have to do something called plasmapheresis. It cleans the antibodies from your blood. We're also going to have to terminate the pregnancy. You're going to tell my parents? Someone should.