82y · Male·Trauma related intracerebral haemorrhage
An 82-year-old man with dementia, cerebellar ataxia, and mobility limitations fell from his wheelchair down three concrete steps (480cm drop) while attending …
74y · Male·Mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazin…
A 74-year-old man with multiple chronic conditions including cerebellar ataxia, COPD, depression and anxiety died from mixed prescription drug toxicity. He had cognitive impairment affe…
67y · Female·perforated sigmoid volvulus with peritonitis upon a background of spinocerebella…
…ged 67, died from perforated sigmoid volvulus with peritonitis on 2 February 2016. She had spinocerebellar ataxia and was resident in aged care. She developed constipation from 15 January 2016, but medical review was not…
76y · Female·end-stage liver failure with encephalopathy due to hepatic cirrhosis
…cute psychosis in February 2015 and was found to have extensive cerebrovascular disease, severe cerebellar ataxia, and severe hepatic cirrhosis. She contracted norovirus during hospitalisation and developed acute renal f…
66y · Female·Ischaemic brainstem stroke
…garet Ann Day, a 66-year-old Specialist Disability Accommodation resident with undifferentiated hereditary ataxia, intellectual disability, and dysphagia, presented to the Emergency Department on 26 November 2024 with ac…
32y · Male·Asphyxia in a man with Friedreich's Ataxia due to positional asphyxia; unable to…
Leslie Troy Ovens, a 32-year-old man with progressive Friedreich's Ataxia, died from positional asphyxia after falling from his wheelchair. He had deteriorated significantly after …
58y · Female·pneumonia, likely aspiration pneumonia
Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…
79y · Male·cardiovascular degeneration
John Alfred Beasley, aged 79, died of cardiovascular degeneration at Resthaven aged care facility on 16 August 2012. He had multiple chronic conditions including Type 2 diabetes, hypertension, cerebrovascular disease wit…
63y · Male·metastatic carcinoma of the lung (small cell neuroendocrine carcinoma with poorl…
A 63-year-old male prisoner died from metastatic small cell lung cancer with adenocarcinoma features. Cancer was incidentally discovered during investigation of a deep vein thrombosis in October 2018, leading to one mont…
55y · Female·aspiration pneumonia
Tracey Lee Cooke, a 55-year-old woman with severe intellectual disability, Parkinson's disease, and dysphagia, died from aspiration pneumonia at Footscray Hospital. She had five documented aspiration pneumonia episodes i…
21y · Male·hypothermia due to exposure
…orating weather and required equipment. Despite clear signs of hypothermia (inability to speak coherently, ataxia), they did not shelter at available emergency huts. Clinical lessons include the importance of clear commu…
43y · Female·unknown
Rita Anderson, a 43-year-old Aboriginal woman with chronic alcohol-related organic brain damage, was admitted to Royal Darwin Hospital in March 2002 for stabilization and placement planning. Unable to safely live indepen…
60y · Female·Complications of metastatic melanoma in the setting of neck of femur fracture fo…
Susan Ruth Lovell, a 60-year-old woman, died from complications of metastatic melanoma in the setting of a neck of femur fracture sustained during a fall. A skin lesion on her left calf, noted in January 2010, was clinic…
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