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WAhospital2013

Inquest into the Death of Mackenzie, Alexander Ronald

60y · Male·Pneumonia in a man with advanced metastatic angiosarcoma

A 60-year-old prisoner serving a life sentence died of pneumonia complicated by advanced metastatic angiosarcoma. He had two rare medical conditions: epithelioid angiosarcoma (diagnosed 2007) and aortitis. A significant …

haematologyallergy and immunologydiagnosticsystem
VIChospital2012-04-19

Finding into death of Selvamalar Murugathasan

43y · Female·Acute thrombosis of a prosthetic mitral valve

A 43-year-old woman with prosthetic mitral and aortic valves due to rheumatic heart disease died from acute thrombosis of her prosthetic mitral valve following cessation and recommencement of warfarin for IVF treatment. …

cardiologyintensive carecommunicationsystemwarfarin
WAhospital2012

Inquest into the Death of Keogh

38y · Female·Pulmonary Thromboembolism

Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…

general surgeryintensive carecommunicationdelaywarfarin
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
SAhospital2010-02-04

Coroner's Finding: KRIVITCH Olga

81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram

Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…

vascular surgeryradiologydiagnosticmedicationheparin
SAhospital2009-07-30

Coroner's Finding: BRUNT Sidney

65y · Male·acute right subdural haematoma

Sidney Brunt, aged 65, died from an acute right subdural haematoma caused by excessive, unmonitored anticoagulation with warfarin. His general practitioner, Dr A., prescribed warfarin for atrial fibrillation but failed t…

general practiceemergency medicinemedicationcommunicationwarfarin
NThospital2008-12-23

Inquest into the death of Jenissa Ryan

14y · Female·blunt force head injury

A 14-year-old Aboriginal girl with newly diagnosed idiopathic thrombocytopenic purpura (ITP) and critically low platelet count (5,000/mm³) absconded from Alice Springs Hospital on 27 January 2006. Hospital staff failed t…

infectious diseaseshaematologycommunicationsystemintragam
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

John Matthew Murray, aged 35, died from pulmonary thromboembolism due to deep vein thrombosis complicating severe pelvic and leg fractures sustained in a motorcycle accident. Following extensive orthopaedic surgery, he w…

orthopaedic surgeryhaematologymedicationsupervisionheparin
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

A 35-year-old Aboriginal man died from disseminated lymphoblastic lymphoma while in prison custody. He presented with progressive symptoms including oedema, shortness of breath, and difficulty walking. Dr J. appropriatel…

haematologycardiologycommunicationdiagnostic
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

A 59-year-old woman with known mitral valve disease presented to the Emergency Department on 19 October 2000 with widespread body pain, severe back pain, and fever. She was undoubtedly suffering from staphylococcus aureu…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin

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