15 results
68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…
Frank Mikhail, a 68-year-old prisoner with severe COPD, presented to St John of God Hospital on 29 January 2023 with haemoptysis and was discharged without admission. Critical clinical lessons include: (1) haemoptysis in…
79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…
Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube …
71y · Male·Acute myeloid leukaemia due to transformation from chronic myelomonocytic leukae…
Peter Timms, a 71-year-old prisoner with multiple comorbidities, died from acute myeloid leukaemia (AML) transformed from chronic myelomonocytic leukaemia. He made over 40 health service requests while incarcerated, incl…
89y · Male·septicaemia due to infected groin wound, femoropopliteal bypass in a man with mu…
An 89-year-old man with multiple comorbidities (diabetes, peripheral vascular disease, heart failure) developed a groin wound infection following femoropopliteal bypass surgery while residing in aged care. The wound dete…
53y · Male·lung abscess with empyema
A 53-year-old man with schizophrenia died from lung abscess with empyema while an involuntary inpatient at a mental health facility. He had been readmitted with a respiratory infection and was treated with intravenous an…
87y · Female·Natural causes in the context of multiple co-morbidities including a sacral ulce…
87-year-old woman died in aged care with a stage 4 sacral ulcer and multiple comorbidities. Key clinical lessons: (1) Systematic communication failures—family was not informed that a healed sacral wound re-emerged in Mar…
28y · Male·Aspiration pneumonia in a man with cerebral palsy
Ryan Myers, a 28-year-old man with cerebral palsy, treatment-resistant epilepsy, cortical vision impairment and global developmental delay, died from aspiration pneumonia. He developed a cough on 24 August 2017 and was s…
Three separate cases: (1) Ronald Grundy - advanced atherosclerotic coronary vasc…
Three men died in custody in Tasmania between 2016 and 2017. Ronald Grundy (80) died of advanced atherosclerotic coronary vascular disease while hospitalised with pneumonia and gastroenteritis; his treatment was adequate…
77y · Male·septic shock due to cellulitis of the left forearm
Malcolm Falkenberg, a 77-year-old man with dementia, died from septic shock due to cellulitis of the left forearm. He had been living independently with declining self-care and hygiene. Following a guardianship order, he…
94y · Male·Multi-system organ failure, peritonitis, acute gangrenous cholecystitis with cho…
Attilio Crozzoli, a 94-year-old nursing home resident with significant comorbidities (ischaemic heart disease, diabetes, dementia), died of multi-system organ failure secondary to sepsis from acute gangrenous cholecystit…
54y · Male·Complications of cervical spinal stenosis treated with cervical laminectomy and …
Geoffrey Power, aged 54, with severe intellectual disability, blindness, and perinatal hypoxic-ischemic brain injury, underwent indicated cervical laminectomy and fusion for cervical stenosis. Post-operatively, he self-r…
52y · Male·Community acquired pneumonia in a man with myotonic dystrophy
Martin Beaty, a 52-year-old man with myotonic dystrophy and history of pulmonary embolism, presented to the ED with shortness of breath. He was initially discharged with mild pneumonia diagnosis but returned two days lat…
58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…
Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…
17y · Female·Acute Lymphocytic Meningitis and Focal Myocarditis
Amy Lee Dawkins, 17, presented twice to Rockingham General Hospital ED within two weeks with severe headaches, myalgias, and vomiting. On 28 December 2008, she was discharged with a diagnosis of viral upper respiratory t…
2y · Female·septicaemia
Zena Stevens, a 2.5-year-old Aboriginal girl, died from septicemia at Tennant Creek Hospital on 14 January 2005. She had presented to clinic on 11 January with fever, purulent ears and a recently lanced abscess after rec…
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