All In (House)
 | This article consists almost entirely of a plot summary. (April 2018) |
| "All In" | |
|---|---|
| House episode | |
| Episode no. | Season 2 Episode 17 |
| Directed by | Fred Gerber |
| Written by | David Foster |
| Original air date | April 11, 2006 |
| Guest appearances | |
| |
"All In" is the seventeenth episode of the second season of House, which premiered on Fox on April 11, 2006.[1]
Plot
During a field trip in a museum exhibit about the human body, six-year-old Ian Alston is found to have bloody diarrhea. Meanwhile, at a charity casino night at Princeton-Plainsboro, House, Wilson, and Cuddy are engaged in a game of Texas hold 'em poker when Cuddy receives the news about her new patient. She dismisses it as dehydration and gastroenteritis, but House, recognizing the symptoms and thinking this could be more than what she suggested, decides to drop out of the game (folding a pair of aces to Cuddy's bluff) and take the case behind her back.
With his suspicion, House tests Ian's coordination by asking him to reach out and grab his cane, which takes Ian multiple grasps until he actually touches the cane. House concludes Ian has ataxia and begins to assume Ian has the same disease as a former patient from twelve years ago, 73-year-old Esther Doyle, who died under House's care and was never correctly diagnosed. House then drags Cameron, Foreman, and Chase out of the party to perform a differential diagnosis. Drawing up a list of all of Esther's symptoms, House is able to predict what will happen to Ian next, as well as how long it will take him to get there.
House first suspects it is Erdheim–Chester disease and orders a colonoscopy, but tests are negative. House, knowing the next symptom that will develop is kidney damage, orders a kidney biopsy, which turns out to be negative. The rest of the team, annoyed, tell House that all Ian has is a stomachache due to some bad food. But after discovering Ian's urine catheter bag full of brown urine, they realize that Ian's kidneys are indeed failing and that they are already far too damaged to be saved. The team is forced to do another differential diagnosis, however many of the diseases proposed, House already tested for twelve years ago.
Next the team postulates it is
Thinking it could be cancer, House includes Wilson in the differential. Wilson suggests
During the biopsy, as House collects the sample from Ian's heart, the catheter induces cardiac arrest in Ian, prompting an enraged Cuddy to pull House off the case and ban him and his team from performing any more tests on Ian. However, House refuses to give up, stating that they still have the mass obtained from the biopsy and can perform the tests on that.
The team suggests seven likely diseases but only has enough tumor mass to perform three tests. First the team tests for
House then orders his team to perform the final test on the first disease suggested: Erdheim–Chester disease. In dismay, the team pleads, telling him they cannot waste their sample on a test for a disease they know he's negative for. House explains his reasoning about the disease not reaching the GI tract and orders the test anyway. The once-skeptical team is pleased when the test turns out positive, Ian is saved, and House finally discovers what killed Esther. The episode ends with House and Wilson playing poker and joking as they did in the beginning of the episode.
References
External links
