diagnostic realism
3.6/5
House
Season 2 Episode 18
Sleeping Dogs Lie
Hannah has life-threatening insomnia and liver failure; the final diagnosis is bubonic plague, while transplant eligibility and disclosure strain the case.
Air date: Apr 18, 2006
overall
3.5/5
procedure realism
3.4/5
workflow realism
3.3/5
Medical Cases in This Episode
These are the patient stories worth unpacking. Open any case for the real-world medicine, what the episode shows, what it leaves out, and source-backed context.
2 cases identified
Case 1
Sleeping Dogs Lie: Bubonic Plague With Liver Failure
This card captures the episode's main supported diagnosis, clinical syndrome, or trauma-care issue.
- Episode shows
- The primary thread in Sleeping Dogs Lie: Hannah has life-threatening insomnia and liver failure; the final diagnosis is bubonic plague, while transplant eligibility and disclosure strain the case.
- Clinical takeaway
- This card captures the episode's main supported diagnosis, clinical syndrome, or trauma-care issue.
Accuracy 3.5/5bubonic-plague-liver-failurediagnostic-reasoningpatient-safety
Case 2
Sleeping Dogs Lie: Transplant Eligibility and Partner Disclosure
This is distinct because it changes diagnosis, consent, disclosure, safety, treatment access, or professional accountability.
- Episode shows
- The secondary thread in Sleeping Dogs Lie: Hannah has life-threatening insomnia and liver failure; the final diagnosis is bubonic plague, while transplant eligibility and disclosure strain the case.
- Clinical takeaway
- This is distinct because it changes diagnosis, consent, disclosure, safety, treatment access, or professional accountability.
Accuracy 3.5/5transplant-eligibility-partner-disclosurediagnostic-reasoningpatient-safety
Episode Summary
Hannah has life-threatening insomnia and liver failure; the final diagnosis is bubonic plague, while transplant eligibility and disclosure strain the case.
Differential Diagnosis and Testing Logic
This draft keeps each case tied to a concrete supported symptom, diagnosis, exposure, procedure, treatment decision, or care-process risk. Educational differential details should be expanded only after transcript review.
Medical Accuracy Review
The main diagnosis or care-process issue is plausible at the source-supported level. The largest limitation is television compression of testing, consent, consultation, and follow-up.
Sources and Further Reading
Episode evidence: iDRief catalog page, House Wiki - Sleeping Dogs Lie, House MD Guide - Sleeping Dogs Lie. Medical context is stored on topic and case cards from trusted patient, public-health, clinical, ethics, toxicology, and emergency-care sources.
Educational Disclaimer
This page is for general education and TV medical analysis only. It is not medical advice, diagnosis, or treatment guidance. iDRief is independent and is not affiliated with any network, studio, streaming service, hospital, medical school, or rights holder.