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In the pilot of House the patient has a seizure in the cold open. Her neurocysticercosis would have been found on MRI seizure protocol in the ED. End of episode.
In s1e2 this is a trickier dx but the patient gets better from SSPE which is universally lethal I think.
In s1e3 the patients colchicine toxicity from a bad script would have resolved with supportive care when he was getting his medications in the hospital. Also what prescription cough pills is he getting?
S1e4 contact precautions probably would have prevented the enterovirus transmission in the maternity ward without too much disruption.
S1e5 The Nun's copper IUD may have been found when she was being evaluated for metal for an MRI or on the localizer images. Also she probably would have gotten steroids for her asthma attack that would have transiently helped her allergy to copper.
s1e6 The patient's ceruloplasmin level was checked at her first psych visit prior to starting antipsychotics, or by the GI consult for her new cirrhosis, nailing the diagnosis
S1e7 The patient's trypanosomiasis caused a heme abnormality which triggered a reflex diff on CBC, someone in the clinical lab probably thought to get a manual diff which would show the worms.
s1e8 organophosphate poisoning is a recognizable toxodrome by any MS1, this patient got his jeans cut off him and he was given atropine and pralidoxime in the ED.
s1e9 before this patient got diagnosed with ALS he would have had extensive MRI brain imaging with and without contrast that revealed an AVM big enough to cause these problems.
I have to go but I will come back to this. I haven't even finished med school yet.
S1e10 the premise hinges on a patient “faking” seizures. Learning to differentiate a real seizure from psychogenic non-epileptic seizures (which isn’t faking btw) is like half of what neuro residents do.