35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…
…ear-old Aboriginal and Torres Strait Islander man with treatment-resistant schizophrenia and psychogenic polydipsia, died in custody from hyponatraemia following excessive water consumption. His psychiatric care by Dr R.…
35y · Male·Hyponatraemia, with psychogenic polydipsia and schizophrenia/schizoaffective dis…
Daniel Turnbull, aged 35, died in custody from hyponatraemia secondary to psychogenic polydipsia whilst in a 24-hour surveillance cell at Bathurst Correctional Centre. He had a long history of schizoph…
60y · Male·end stage refractory chronic congestive cardiac failure on a background of chron…
…art failure while under Mental Health Act detention. He had multiple comorbidities including psychogenic polydipsia, recurrent hypernatraemia, and severely impaired left ventricular function (EF 18%). Despite aggressive …
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
…echanism difficult to separate. Care was deemed appropriate despite his rare presentation of psychogenic polydipsia (excessive water drinking), not yet well-recognised in custodial settings. Resuscitation attempts were h…
72y · Female·Bronchopneumonia
Diane Young, a 72-year-old psychiatric resident with multiple comorbidities including asthma, aortic stenosis, and intellectual disability, died of bronchopneumonia with contributing ischaemic heart disease. She was seen…
51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …
…ial infarction, and a large untreated abdominal hernia. While at Graylands Hospital, he developed severe polydipsia leading to recurrent hyponatraemia and cardiac decompensation. In late April 2012, he gained over 10kg i…
39y · Male·COMPLICATIONS OF CHRONIC RENAL FAILURE
Drew Aaron Boaler, a 39-year-old man with severe intellectual disability, epilepsy, bipolar disorder, and chronic renal failure, died from complications of his renal disease while on an outing. He had presumed lithium-in…
76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…
…HS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations: polydipsia, polyuria, confusion, and disorientation warrant urgent hospitalisation. Mr Tedmanson's initial reluctan…
47y · Female·hyponatraemia arising from primary polydipsia and complications of schizoaffecti…
…sorder and bipolar disorder, died in custody on 20 December 2022 from hyponatraemia arising from primary polydipsia. She was arrested on 9 December 2022 for minor shoplifting offences. Critical failures included: NSW Pol…
64y · Male·Multiple organ failure due to paracetamol toxicity
…oms (lethargy, falls, acute deterioration) that were misattributed to his known dementia and psychogenic polydipsia. By presentation to hospital on day of death, he had irreversible severe renal and hepatic failure. Chro…
29y · Male·Diabetic ketoacidosis
Benjamin Hodgson, a 29-year-old man, presented to his GP on 20 January 2014 with polyuria, polydipsia, difficulty sleeping, fever (38.6°C), and hypertension. The GP diagnosed a urinary tract infection and p…
20y · Male·diffuse cerebral oedema caused by hyponatraemia caused by excessive self-induced…
…e 2000, he was admitted with severe hyponatraemia and seizure from excessive water drinking (psychogenic polydipsia). A new individual plan was prepared requiring shower supervision. On 6 September 2000, casual carer Sha…
45y · Male·Environmental exposure and dehydration
A 45-year-old Aboriginal man with severe cognitive impairment (6.5-year-old equivalent English comprehension), traumatic brain injury, epilepsy and multiple medical conditions died from environmental exposure and dehydra…
47y · Male·Complications of acute agitation in the setting of a prolonged struggle in an ac…
Ricky Broughton, a 47-year-old man with chronic treatment-resistant schizophrenia, died during police restraint while being transferred for involuntary psychiatric assessment. After moving from Geelong to Ballarat in Feb…
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