Jocelyn Riddiford, a 52-year-old woman with intellectual disability and autism residing in supported accommodation, died from unascertained natural causes. Over 18 months prior to death, she experienced progressive decline with weight loss (11 kg over 4 months), low iron levels, poor appetite, vomiting, and mobility deterioration. Investigations by gastroenterology and haematology units in 2017 revealed chronic gastritis, mild telangiectasia, and low iron stores, but no definitive diagnosis. Despite comprehensive workup including colonoscopy, gastroscopy, and bone marrow biopsy, the underlying cause remained unclear. She was appropriately transitioned to palliative care in August 2017 and died in hospital three days later. The coroner found no evidence of diagnostic delay or inadequate investigation—care appeared appropriate given diagnostic uncertainty.
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Specialties
general practicegastroenterologyhaematologypalliative careforensic medicine
Drugs involved
morphinediazepammidazolammetoclopramide
Clinical conditions
intellectual disabilityautismchronic gastritisiron deficiencytelangiectasiaweight loss
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