Coronial
QLDhospital

Carpenter, Harold James

Deceased

Harold James Carpenter

Demographics

66y, male

Coroner

Lock

Date of death

2014-05-24

Finding date

2015-01-29

Cause of death

Coronary atherosclerosis with emphysema as secondary cause

AI-generated summary

Harold James Carpenter, a 66-year-old prisoner with significant comorbidities including ischaemic heart disease, emphysema, hepatitis C and possible malignancy, died from coronary atherosclerosis and emphysema. He presented with hip pain, shortness of breath and fever, initially diagnosed as hip joint infection. Investigation revealed a rare right iliac artery aneurysm blocking kidney drainage, complicated by sepsis. Despite intervention including stent insertion and nephrostomy, he declined further surgery and opted for palliative care. Medical review found excellent diagnostic skills, comprehensive care, and appropriate management consistent with community standards. The coroner found his death could not have been reasonably prevented and identified no deficiencies in medical care at either the correctional centre or hospital.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

emergency medicineorthopaedic surgerygeneral medicineinfectious diseasescardiologyintensive careurologyvascular surgeryradiologynephrologypalliative care

Drugs involved

oxycodonemidazolam

Clinical conditions

coronary atherosclerosisischaemic heart diseasemyocardial infarctionemphysemachronic obstructive pulmonary diseasehepatitis Chypertensionhyperlipidaemialung nodulepyelonephritissepsisiliac artery aneurysmacute kidney injurymulti-organ failure

Procedures

angiogramstent insertionnephrostomy tube insertionCT scanultrasoundbone scanechocardiogram

Contributing factors

  • pre-existing ischaemic heart disease
  • emphysema
  • hepatitis C
  • possible malignancy
  • iliac artery aneurysm blocking kidney drainage
  • sepsis secondary to pyelonephritis
  • multiple organ involvement
  • patient refusal of further surgical intervention
  • immunosuppression from hepatitis C and possible malignancy
Full text

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