pulmonary thromboembolism due to deep vein thrombosis and sepsis due to pyelonephritis on a background of metastatic ovarian cancer
AI-generated summary
Lorna May Woods, 39, died from pulmonary thromboembolism due to deep vein thrombosis and sepsis secondary to pyelonephritis on a background of metastatic ovarian cancer. She presented to Joondalup Health Campus with urosepsis and was found to have advanced ovarian cancer, bilateral pulmonary emboli, and a chronically infected left kidney. She was placed on a Mental Health Act treatment order due to schizophrenia relapse complicated by delirium. The coroner found the supervision, treatment and care provided was reasonable and appropriate. Key clinical lessons: patients with chronic mental illness and intellectual disability have reduced insight into health needs, making early cancer detection difficult; sepsis and thromboembolism in the context of malignancy require urgent specialist input; and involuntary treatment orders may be necessary when patients lack capacity and refuse life-saving care.
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Specialties
emergency medicinepsychiatrygynaecologyoncologyintensive caregeneral medicine
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