Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man with schizoaffective disorder
AI-generated summary
David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infection, received appropriate clinical assessment and investigations (blood tests, chest x-ray, ECG), and was managed with antibiotics. He collapsed four days later and died from cardiomegaly and severe single vessel coronary artery atherosclerosis. Investigation focused on whether urinary incontinence represented a new symptom requiring investigation versus pre-existing chronic incontinence. Although medical records showed conflicting information about post-operative urinary status after recent prostate surgery, the coroner found medical and nursing care was appropriate and consistent with standard care. The death resulted from acute cardiac pathology unrelated to any clinical management failures.
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