Coronial

124 results for chest CT scan

QLDhospital2017-09-02

ML - Non-inquest findings

71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…

A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was…

emergency medicinecardiologydiagnosticsystemintravenous fluids
VIChospital2012-04-13

Finding into death of Joel Aaron Frigo

30y · Male·Haemopericardium caused by ruptured dissecting thoracic aortic aneurysm

Joel Frigo, 30-year-old with Marfan's syndrome, presented to a regional hospital with chest pain and was diagnosed with a chest infection/pleurisy. He died from a ruptured dissecting thoracic aortic…

emergency medicinecardiologydiagnosticcommunicationatenolol
TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

…ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause for syncope based on chest pain, referred him for cardiology, and did not perform a head CT scan despite clear evidence of head injur…

emergency medicinecardiologydiagnosticproceduralparacetamol
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …

oncologyrespiratory medicinechemotherapy agents
VIChospital2014-09-10

Finding into death of John William Macfie

73y · Male·complications of lung carcinoma in a man with multiple comorbidities

… hypertension, hyperlipidemia) and a chronic smoking history, died from complications of lung carcinoma. A chest X-ray in September 2011 suggested possible underlying lesions but Mr Macfie repeatedly refused CT imaging …

respiratory medicineoncologyglyceryl trinitrate
TAShospital2020-08-12

Coroner's Finding: Maynard, Grant Godfrey

60y · Male·multi-organ failure due to injuries sustained in motor vehicle accident, specifi…

…rrhosis, renal failure, diabetes) presented to ED following a motor vehicle accident at low speed. Despite chest imaging showing pleural effusion and the patient having rib pain, fractured ribs were not diagnosed. Subse…

emergency medicinegeneral medicinediagnosticdelaydoxycycline
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

An 88-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, cardiomyopathy) was struck by a reversing vehicle at low speed, sustaining subarachnoid haemorrhage, subdural haemorrhage, and fracture…

emergency medicineneurosurgerysystem
TAShospital2020-04-07

Coroner's Finding: Pettersson, Jan Axel

71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges

…d man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical deterioration w…

general medicinerespiratory medicinediagnosticdelay
VIChospital2020-10-21

Finding into death of MRS M

91y · Female·Complications of pelvic fractures sustained in a fall

A 91-year-old woman with osteoporosis and multiple comorbidities sustained pelvic fractures in a mechanical fall at home. She presented to the ED where initial hip x-ray showed no fracture. She deteriorated with hypotens…

emergency medicinegeriatric medicinediagnosticdoxycycline
QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…

oncologycardiologyprazosin
WAhospital2015-07-29

Inquest into the Death of Tien Chung NGUYEN

55y · Male·ruptured dissection of the thoracic aorta

…upture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 November 2010 and was transferred to Swan Districts Hospital wh…

emergency medicinecardiothoracic surgerydiagnostic
WA2024-12-23

Inquest into the Death of Frank MIKHAIL

68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…

…) haemoptysis in a heavy smoker with COPD warrants investigation for malignancy, not just infection; (2) a chest CT should have been urgently arranged; (3) SJOG staff failed to adequately investigate or document a furth…

respiratory medicineemergency medicinediagnosticcommunicationamitriptyline
TAShospital2015-04-22

Coroner's Finding: Rogers, Maureen Ann

71y · Female·cardiac tamponade due to ascending aortic dissection

…pain requiring morphine. Despite clinical features concerning for acute aortic dissection (severe stabbing chest pain radiating to back, relieved by leaning forward, systolic ejection murmur, ECG changes), she was diagn…

emergency medicineradiologydiagnosticcommunicationmorphine
QLDhospital2024-12-16

Inquest into the death of Shane Anthony May

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…

emergency medicinerespiratory medicineamlodipine
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

…ising and institutional guidelines requiring radiology for trauma patients over 65 years; (3) a CT shoulder scan failed to detect the cervical fracture; (4) ICU staff did not diagnose the underlying injury despite clinic…

emergency medicinegeneral surgerydiagnosticprocedural
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

A 63-year-old man with intellectual disability, cerebral palsy, dysphagia, and COPD died from aspiration pneumonia following functional decline. He had a three-month hospital admission with multiple complications includi…

general medicineemergency medicinesystemcommunicationrisperidone
VIC2012-02-14

Finding into death of George Iles

83y · Male·Metastatic oesophageal adenocarcinoma

George Iles, an 83-year-old prisoner, died from metastatic oesophageal adenocarcinoma. He had multiple comorbidities (asthma, hypertension, heart disease) and experienced falls and deterioration during incarceration. In …

oncologypalliative care
VIChospital2014-07-14

Finding into death of Peter Swanston

63y · Male·Complications of Metastatic Non Small Cell Lung Cancer

…om complications of metastatic non-small cell lung cancer. He was diagnosed in November 2012 following a CT scan investigating chest symptoms and weight loss. His care involved coordination between St Vincent's Hospital,…

oncologypalliative care
VIChospital2021-04-30

Finding into death of Valerie Margaret Fraser

94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…

…admission. A critical error occurred on 6 November when GMU clinicians mistakenly told the family that a CT scan had already been performed, when in fact no such scan had been done. This communication error delayed appro…

general medicinegastroenterologycommunicationdiagnostictamoxifen
VIC2026-01-28

Finding into death of L N

28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall

A 28-year-old man died from traumatic intracranial haemorrhage following an unwitnessed fall at his apartment building. He had been heavily intoxicated (blood alcohol 0.27 g/100mL, cocaine positive) at a social event and…

intensive careneurosurgeryalcohol

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