Richard Thorn, a 67-year-old man with a history of alcoholism and back problems affecting mobility, was found deceased on his bedroom floor. Autopsy confirmed death from hypothermia (core temperature <35°C), evidenced by Wischnewski's ulcers. He exhibited paradoxical undressing and confused behaviour typical of hypothermia. Risk factors included advanced age, living alone, pre-existing disease (severe heart disease found at autopsy), alcoholism, and ambient temperatures of 6.8–9.8°C in late May. While the precise reason he was on the floor remains unclear—possibly fall, intoxication, or positioning for back pain—clinical lessons include recognising hypothermia risk in elderly alcoholic patients living alone with mobility issues, and ensuring adequate monitoring and environmental safety for vulnerable individuals.
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