Deceased
Jeong Shin
Demographics
35y, female
Date of death
2007-04-17
Finding date
2010-03-11
Cause of death
pulmonary thrombo-emboli
AI-generated summary
A 35-year-old woman with treatment-resistant schizophrenia detained under Mental Health Act died from pulmonary thromboembolism while an inpatient in a psychiatric ward. In the final days, she reported leg pain and possible chest pain but was combative and uncooperative with examination, complicating assessment. Clinical staff arranged investigations and interpreter assistance for the following day. When found collapsed, prolonged resuscitation was attempted but proved unsuccessful. The coroner found her detention lawful and appropriate, and her medical management reasonable. Notably, no deep vein thrombosis source was identified at autopsy, the cause of PE remained unknown, and earlier escalation probably would not have changed outcome. The case highlights challenges in assessing acutely unwell psychiatric patients with communication difficulties and limited cooperation who present with vague somatic symptoms.
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Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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