155 results for “weight loss”
pneumonia
…t of acceptable standards. Key failures included: staff failing to recognise the significance of her rapid weight loss (13.6kg over 139 days), poor quality clinical assessment, and discharge without a diagnosis. These cl…
18y · Female·multi-organ failure due to combined effects of environmental exposure (hyperther…
Jessica Jackson, 18, died from multi-organ failure due to combined hyperthermia and dehydration while weight-cutting for an amateur Muay Thai fight. She lost approximately 9 kg in the final week through water-loadin…
52y · Female·Unascertained (natural causes)
…from unascertained natural causes. Over 18 months prior to death, she experienced progressive decline with weight loss (11 kg over 4 months), low iron levels, poor appetite, vomiting, and mobility deterioration. Investig…
62y · Male·Complications of metastatic malignancy (likely lung primary)
…n custody at Junee Correctional Centre. He was a heavy smoker admitted to prison in June 2023. Significant weight loss (40kg) during incarceration was noticed but not formally documented as a concern. CT imaging on 2 Oct…
36y · Male·Complications of Cerebral Palsy
…ications of his cerebral palsy while in palliative care. He had experienced progressive deterioration with weight loss of 15kg, diminished eating ability, aspiration pneumonia and seizures prior to admission. The coroner…
69y · Female·Complications of oesophageal squamous cell carcinoma (palliated)
…ability and Lewy body dementia living in NDIS-funded supported accommodation, presented with dysphagia and weight loss. Gastroscopy revealed oesophageal squamous cell carcinoma with severe stricture. She was deemed not s…
23y · Female·Unascertainable
…coroner concluded her cause of death was unascertainable but speculated a possible cardiac event linked to weight loss and Olanzapine reintroduction. The coroner found her supervision, treatment and care at the hospital …
70y · Male·carcinoma of the lung
…ng his 6+ years at Acacia Prison. From December 2016 onwards, significant red flags—including haemoptysis, weight loss (>9kg), tachycardia, and chest pain—were not recognized by nursing staff or escalated appropriately. …
66y · Male·metastatic oesophageal cancer
…slation died from metastatic oesophageal cancer at a hospital providing palliative care. He presented with weight loss and dysphagia in late 2016, was investigated at Royal Adelaide Hospital where CT and endoscopy confir…
8y · Male·prematurity-associated lung and bowel disease
…urity-associated lung and bowel disease while in parental care. Critical clinical lessons include: (1) his weight loss of 10% in final 10 days, indicating nutritional crisis, was not recognised as a medical emergency req…
66y · Male·Complications of chronic lithium therapy
… no dose review when renal impairment was documented in August 2012; (2) failure to link his presentation (weight loss, falls, tremor, dysphagia) to lithium toxicity despite lithium levels above 1.0 mmol/L for six weeks;…
64y · Female·Complications of cachexia and aspiration pneumonia on a background of cerebral p…
… 2 March 2016. Post-mortem examination revealed functional obstruction of the duodenum secondary to severe weight loss and cachexia. The coroner found care provision to be reasonable and appropriate, with no clinical err…
73y · Male·Multiorgan dysfunction in the setting of severe heart failure in a man with mult…
…ction in severe heart failure. He had experienced progressive health decline over months, including falls, weight loss, and swallowing difficulties following aspiration pneumonia in mid-2023. In April 2024 he was hospita…
16y · Male·fresh water drowning
… bruises, abrasions, and injuries consistent with repeated blunt force trauma. Jason presented with marked weight loss, poor hygiene, and psychological distress in the weeks before his death. While the precise circumstan…
0y · Male·Pneumonia in the setting of malnutrition
…ted by severe malnutrition and dehydration. He weighed 2.87kg at autopsy, far below his reported 4kg birth weight. He had difficulty breastfeeding from birth and despite attempts to establish breastfeeding, parents switc…
63y · Female·disseminated metastatic carcinoma of unknown primary in a woman with multiple sc…
…aham Hall. Her GP did not discuss palliative care or end-of-life planning, despite progressive disability. Weight loss and breathlessness were attributed to known conditions. In her final days, Ms Rees stopped eating and…
45y · Female·Sibutramine ingestion in a woman with coronary artery atherosclerosis
…sibutramine ingestion combined with underlying coronary atherosclerosis. She had purchased Slimming Factor weight-loss tablets online, marketed as herbal but containing undisclosed pharmaceutical agents including sibutra…
0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration
…lack of face-to-face assessment despite COVID directives prioritizing young infants; failure to act on 11% weight loss at GP visit; lack of communication between hospital, GP, and maternal child health services; and fail…
49y · Female·Widespread small and large bowel, splenic and hepatic infarction secondary to se…
…is of the superior mesenteric and coeliac arteries. She presented to the ED with months of abdominal pain, weight loss and diarrhoea, initially suspected to be ulcerative colitis. A CT scan on 26 August identified spleni…
87y · Female·right thigh haematoma as a consequence of a periprosthetic fracture of the right…
…tly during rehabilitation at a district hospital, developing severe malnutrition over 4-5 weeks with 7.1kg weight loss despite documented swallowing difficulties (Zenker's diverticulum). No definitive nutritional support…
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