28 results
85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …
An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …
69y · Male·Ischaemic and hypertensive heart disease
Wilhelm Mueller, a 69-year-old prisoner at Middleton Prison, died suddenly from ischaemic and hypertensive heart disease. Autopsy revealed critical coronary artery stenosis (>75%) with cardiac hypertrophy and remote myoc…
79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…
John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospit…
61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…
Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…
41y · Male·Cardiomegaly in a man with WHO Class III obesity
Michael Suckling, a 41-year-old Aboriginal man, died in prison from cardiomegaly secondary to morbid obesity (BMI 54.5). He gained approximately 117kg during his 3-year incarceration, with rapid initial weight gain from …
79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…
A 79-year-old man with extensive comorbidities died following multiple falls in residential aged care. He was identified as high falls risk on admission but experienced inadequate falls prevention after a second fall on …
71y · Male·raised intracranial pressure caused by left frontal-temporal-parietal subdural h…
Warren James Newell, a 71-year-old man with oesophageal cancer, presented with acute coronary syndrome on 29 September 2022 and was appropriately diagnosed and treated with anticoagulation and dual antiplatelet therapy. …
70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…
A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…
92y · Male·left haemothorax and rib fractures resulting from a fall at a residential aged c…
A 92-year-old man with multiple comorbidities (cardiac failure, COPD, chronic renal failure, diabetes) and documented high falls risk sustained a fall at a residential aged care facility on 12 May 2021, resulting in left…
29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis
A 29-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis (DVT) following a suicide attempt by hanging. He was admitted to ICU and appropriately commenced on prophylactic enoxaparin 40mg dai…
81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy
An 81-year-old woman with atrial fibrillation and Alzheimer's disease fell at home on 21 December 2020, sustaining a subdural haematoma. Nambour Hospital appropriately ceased her anticoagulant (rivaroxaban) and planned c…
45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…
David Smith, aged 45, died from haemorrhagic transformation of cerebral infarction secondary to essential thrombocytosis with bilateral internal carotid artery thrombosis. He developed an acute ischaemic stroke on 9 July…
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…
73y · Female·atherosclerotic and hypertensive coronary vascular disease
Ms Wallace, a 73-year-old woman with hypertension and other comorbidities, developed atrial fibrillation during orthopaedic surgery for a fibula fracture. She was discharged on flecainide 50mg daily, metoprolol, and riva…
73y · Male·Haemorrhagic stroke in the setting of recent inguinal hernia surgery and change …
Paul Turner, 73-year-old with atrial fibrillation and aortic valve replacement, underwent elective bilateral inguinal hernia repair in August 2018. His cardiologist advised ceasing rivaroxaban 3-4 days preoperatively; ho…
68y · Female·Cardiomyopathy with atrial fibrillation, pulmonary hypertension, and alcohol int…
Margaret Brown, a 68-year-old woman with significant cardiac disease (cardiomyopathy, atrial fibrillation, pulmonary hypertension) and chronic alcohol abuse, died at home from cardiomyopathy with alcohol intoxication as …
38y · Male·Mixed drug toxicity
DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, initially obtained from multi…
56y · Male·Liver cancer (hepatocellular carcinoma)
Phillip John Wust, a 56-year-old prisoner with chronic hepatitis C and cirrhosis, died from hepatocellular carcinoma. Serial imaging from 2018-2019 showed cirrhosis but no evidence of cancer until December 2019 when he p…
64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall
Ian Gould, a 64-year-old man with a non-MRI compatible pacemaker, presented with vision loss in June 2019. Initial neurological and ophthalmological evaluation was normal; functional visual loss was suspected. He develop…
85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …
Lydia Maxfield, 85, died 5 days after elective left total knee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnorm…
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