Guest Stars Shane Kinsman as Porter Scavo Zane Huett as Parker Scavo Brent Kinsman as Preston Scavo Shawn Pyfrom as Andrew Van de Kamp Joy Lauren as Danielle Van de Kamp Kathryn Joosten as Karen McCluskey Rachel Fox as Kayla Huntington Dougray Scott as Ian Hainsworth Josh Henderson as Austin McCann Kiersten Warren as Nora Huntington Ernie Hudson as Detective Ridley David Fabrizio as Detective Collins Laurie Metcalf as Carolyn Bigsby Kathleen York as Monique Polier Michael Durrell as Myron Katzburg Brian Kerwin as Harvey Bigsby Michael Bofshever as Kenny Stevens Brenda Julian as Rebecca Groves Co Starring Pat Crawford Brown as Ida Greenberg Jill Brennan as Tish Atherton Felice Heather Monteith as Nurse Marcy Kathy Byron as Nurse #2 Christopher Michael Moore as Cabbie Douglas Fisher as Party Guest