11 results
84y · Male·Complications of fracture left humerus neck due to fall due to hyperactive delir…
An 84-year-old man with Alzheimer's disease and dementia-related behaviours developed a urinary tract infection causing acute delirium, atrial fibrillation, and multiple falls. After presenting to the emergency departmen…
79y · Female·Chronic obstructive pulmonary disease
Jean Alice Dowson, 79, died in an aged care facility after being commenced on end-of-life medications. She had severe COPD and was frail (29kg). On 10 April 2017, when she deteriorated with respiratory distress, a Clinic…
84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…
Mrs Charlotte Paluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nu…
43y · Male·Unascertained - attributed to metabolic/physiological derangement in context of …
Tai Van Tran, a 43-year-old man with daily heroin use, was arrested and remanded in police custody. He disclosed heroin use during intake assessment and was appropriately scheduled for medical review. On the following da…
34y · Male·ischaemic heart disease secondary to coronary atherosclerosis as an antecedent c…
Reuben Button, a 34-year-old Aboriginal man, died in custody from ischaemic heart disease secondary to coronary atherosclerosis. During his 5-year imprisonment, his weight increased from 86kg to 162kg despite attempts at…
75y · Male·Complications of multiple myeloma (palliated)
Brian Kevin Scurrah, a 75-year-old man with intellectual disability living in a supported residential service, died from complications of multiple myeloma. He was diagnosed with advanced multiple myeloma in June 2021 fol…
79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…
A 79-year-old man with significant cardiovascular disease history (prior MI, triple bypass, hypertension, hypercholesterolaemia) was admitted to psychiatric care under an Inpatient Treatment Order following suicidal idea…
22y · Female·bowel obstruction due to faecal impaction
Susan Windie, a 22-year-old with rare congenital abnormalities affecting bowel function, died from bowel obstruction due to faecal impaction complicated by abdominal compartment syndrome. She presented to Carnarvon Hospi…
83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…
Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…
34y · Female·aspiration pneumonia in the setting of pseudo-obstruction of the large bowel
34-year-old woman with cerebral palsy, developmental delay, epilepsy, chronic bowel pseudo-obstruction, and swallowing difficulties died from aspiration pneumonia. She was admitted to Austin Hospital with decreased consc…
82y · Female·Hyperkalaemia due to acute renal failure on a background of end stage pulmonary …
An 82-year-old woman with terminal pulmonary fibrosis and chronic respiratory failure presented with chest pain, hyperkalaemia and metabolic acidosis. She became combative and was given haloperidol and morphine for agita…
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