Finding into death of H J
Deceased
HJ
Demographics
76y, female
Date of death
2021-06-12
Finding date
2021-11-17
Cause of death
Undetermined (natural causes)
AI-generated summary
HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight and refusal of interventions, she was placed under a Mental Health Act order. She underwent gastroscopy for diagnostic purposes, could not be extubated post-procedure, and was admitted to ICU with type 2 respiratory failure. Despite supportive care including non-invasive ventilation and vasopressor support, she deteriorated and was transitioned to palliative care, dying on 12 June 2021. The coroner found the care reasonable and appropriate, identifying no preventable factors. The cause of death remained undetermined despite post-mortem imaging.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
Contributing factors
- lack of medical insight secondary to chronic psychotic disorder
- paranoid delusions preventing engagement with medical care
- bilateral large adnexal masses of unknown primary origin
- small bowel obstruction
- type 2 respiratory failure post-gastroscopy
- inability to extubate following diagnostic procedure
- pleural effusions and bronchiectatic changes identified on imaging
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