52 results
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
David Fensom, 67, underwent elective fundoplication for hiatus hernia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings a…
75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…
A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
Sally Hopwood, 57, with Turner syndrome, coarctation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute back and chest pain (8/10). A chest X-ray revealed widened mediastinum. She…
67y · Male·Complications of non small cell lung carcinoma in a man with ischaemic cardiomyo…
A 67-year-old man with schizophrenia subject to a Non-Custodial Supervision Order died from complications of non-small cell lung carcinoma with multiple comorbidities including ischaemic cardiomyopathy and COPD. He was a…
81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…
An 81-year-old woman died from haemothorax and mediastinal haemorrhage following pacemaker insertion for sick sinus syndrome. Multiple venous punctures during the procedure caused vascular injury. Critical clinical lesso…
68y · Female·Coronary heart disease
A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive cardiac failure; troponins were no…
40y · Male·ischaemic heart disease due to left ventricular hypertrophy and coronary artery …
A 40-year-old Aboriginal man with longstanding rheumatic heart disease, left ventricular hypertrophy, and coronary artery atherosclerosis died from acute myocardial infarction complicated by ventricular fibrillation whil…
55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…
A 55-year-old woman with extensive coronary artery disease presented for elective stent placement to her left anterior descending artery. During the procedure, a small diagonal branch vessel was occluded—a recognised com…
51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…
Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaemic heart disease. He presented to the Royal Ade…
78y · Male·cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascula…
Ronald William Hopkins, aged 78, died in Mount Gambier Prison on 20 April 2014 from cardiomegaly with left ventricular hypertrophy and atherosclerotic cardiovascular disease, with contributing chronic obstructive pulmona…
91y · Female·Unascertained
Margaret Smith, a 91-year-old admitted with head strike from fall, developed moderate depression during her stay and received electroconvulsive therapy (ECT) as a compulsory patient. On 5 March 2015, she developed epigas…
84y · Female·Myocardial infarction
Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch blo…
79y · Male·Ischaemic heart disease
John Angeles, aged 79, died of ischaemic heart disease while serving a life sentence for murder. He had severe triple-vessel coronary disease, chronic lung disease, and was on maximal medical therapy. The coroner found h…
62y · Male·fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy
A 62-year-old prisoner with severe ischaemic heart disease, diabetes, and cardiomyopathy died from a fatal cardiac arrhythmia in hospital. He had extensive cardiac history including pacemaker insertion, coronary stents, …
41y · Male·Myocardial infarction secondary to coronary atherosclerosis, resulting in sudden…
A 41-year-old man with multiple cardiac risk factors (hypertension, hyperlipidemia, obesity, obstructive sleep apnoea, family history) presented with chest pain and was diagnosed with acute coronary syndrome. Coronary an…
50y · Male·coronary atherosclerosis
A 50-year-old Tamil Sri Lankan man in immigration detention at Curtin IDC died from severe coronary atherosclerosis. He was assessed using a temporary "fast track" health screening process due to overcrowding at Christma…
73y · Male·complications of lung carcinoma in a man with multiple comorbidities
John William Macfie, a 73-year-old man with extensive medical comorbidities (COPD, ischemic heart disease, prior CABG surgeries, cardiac stents, hypertension, hyperlipidemia) and a chronic smoking history, died from comp…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
Henry Edwin Kerr, 86, died of acute myocardial ischaemia following left inguinal hernia surgery at Esperance District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and …
74y · Female·Cardio-renal failure due to gangrene of calculous gallbladder, with significant …
An elderly woman with a documented penicillin allergy, wearing a MedicAlert bracelet, presented to emergency with respiratory distress and chest pain. She was administered intravenous Ampicillin without allergy verificat…
68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema
A 68-year-old woman with severe COPD and undiagnosed atherosclerotic heart disease underwent cataract surgery at Northam Hospital. Post-operatively, she was prescribed Diamox (acetazolamide), a sulphonamide medication. D…
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