decompensated liver failure in a man with metastatic hepatocellular carcinoma, with terminal palliative care
AI-generated summary
Tony Ruich, a 55-year-old sentenced prisoner, died from decompensated liver failure due to metastatic hepatocellular carcinoma with terminal palliative care. He had pre-existing cirrhosis diagnosed in 2012, likely from hepatitis C and chronic alcohol dependence. In October 2023, abdominal pain investigations revealed advanced hepatocellular carcinoma with portal vein thrombosis, deemed unsuitable for active treatment. Transferred to Casuarina Prison infirmary for palliative care, he experienced COVID-19 infection and progressive deterioration. On 9 January 2024, he was transferred to Fiona Stanley Hospital where palliative care confirmed imminent death. The coroner found supervision, treatment and care at both facilities was appropriate, though noted the patient frequently declined medical interventions. No preventable failures were identified in his medical management.
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Specialties
hepatologypalliative caregeneral medicineforensic medicinecorrectional health
Drugs involved
heroinmethamphetaminecannabisLSDcelecoxibpantoprazoleanti-viral medication for covid-19
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