66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …
…noma died in hospital from carcinomatosis with sepsis and multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recurrence and negative infection workup. A…
86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…
…he general practitioner's failure to realise she was on warfarin until 3 January when she presented with haematuria; and crucially, the GP's failure to chase the INR result after requesting it on 4 January. The patient p…
59y · Female·multi-organ failure as a result of metastatic cervical cancer
…man with schizophrenia and metastatic cervical cancer, died from multi-organ failure. She presented with haematuria, lethargy, and poor appetite, and was found to have advanced malignancy with lung metastases. Due to psy…
55y · Male·Glioblastoma multiforme
Mark Ian McLaughlin, a 55-year-old man in custody, presented with haematuria and neurological symptoms and was found to have a grade 4 glioblastoma multiforme on imaging and histopa…
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
…unsuccessful attempt by an RDNS nurse followed by a procedure by the patient's GP. Subsequently, massive haematuria developed. An ambulance was initially called but cancelled on the GP's instructions before being re-call…
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
…indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulting in haematuria, anuria, fever and hypotension. Despite appropriate hospital treatment including antibiotics for polymic…
4y · Male·Severe rhabdomyolysis due to LPIN1 gene mutation
…sis (blood and protein positive, but no red blood cells on microscopy), suggesting myoglobin rather than haematuria. The critical discharge letter outlining follow-up was never delivered, and abnormal results were not re…
53y · Male·metastatic pancreatic cancer
Joseph Mallia, a 53-year-old man incarcerated at Barwon Prison, presented with left flank pain and haematuria in November 2011. A CT scan in January 2012 identified concerning pancreatic duct distension suggesting …
67y · Male·Acute on chronic renal failure with pyelonephritis
…the community with support from the Department of Human Services, then hospitalised in January 2011 with haematuria and renal obstruction. He was transferred to palliative care on 2 February 2011 with a Not For Resuscita…
65y · Male·metastatic prostate cancer complicated by deep vein thromboses
Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…
66y · Female·Pulmonary thromboembolism due to renal vein thrombus secondary to renal cell car…
Sylvia Crane, 66, died from pulmonary thromboembolism caused by tumour thrombus originating from renal cell carcinoma. She had a five-month delay in scheduling Category 1 surgery for nephrectomy due to systemic waitlist …
46y · Female·Accidental mixed prescription drug toxicity (tramadol, amitriptyline, codeine, d…
Michelle Jayne Stocks, aged 46, died from accidental mixed prescription drug toxicity in December 2018. She had complex medical conditions including emphysema, fibromyalgia, and chronic pain, managed by her GP Dr Q. retu…
38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)
Susannah McLevie, a 38-year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April,…
25y · Male·Multiple organ failure due to acute paracetamol poisoning
Danny Whitton, a 25-year-old Aboriginal prisoner at Junee Correctional Centre, died from acute paracetamol toxicity causing multi-organ failure. He presented to the prison medical clinic on 5 November 2015 with vomiting …
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