30 results
38y · Male·Diabetic ketoacidosis secondary to pyelonephritis in a man with insulin dependen…
A 38-year-old man with insulin-dependent diabetes, partial blindness, gastroparesis, seizures, chronic kidney disease and peripheral vascular disease died from diabetic ketoacidosis precipitated by pyelonephritis. He had…
47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…
A 47-year-old NDIS participant with a history of stroke, diabetes, and complex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support serv…
75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis
A 75-year-old woman died from infective complications of a left hand wound sustained in a fall from a ladder in November 2023, complicated by undiagnosed diabetic ketoacidosis. Despite family encouragement to seek medica…
33y · Female·neck compression and hanging
Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …
19y · Female·sodium nitrite toxicity
This finding concerns the death of a 19-year-old transgender woman (referred to as 'AS') who died from sodium nitrite toxicity on 9 May 2021. She ingested sodium nitrite during a video call with a friend in NSW. AS had a…
16y · Male·Hypoxic/ischaemic encephalopathy in the context of diabetic ketoacidosis
A 16-year-old with Type 1 Diabetes died from diabetic ketoacidosis (DKA) precipitated by acute gastroenteritis acquired while on a school trip to Vietnam. Despite reporting vomiting at 8am on 26 September 2019, Lachlan w…
74y · Female·Diabetic ketoacidosis
A 74-year-old woman with Type 1 diabetes died from diabetic ketoacidosis (DKA) in an aged care facility. Between 7-10 December 2016, her blood glucose levels remained persistently elevated (>33 mmol/L) despite escalating…
57y · Male·Consequences of multiple injuries (from fall from elevated walkway)
Mladen Jovanoski, a 57-year-old remand prisoner, died from head injuries sustained after falling from a prison walkway on 11 April 2018. He had suspected metastatic thyroid cancer requiring urgent biopsy at a tertiary ho…
34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…
Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings from Monash Health that sh…
70y · Male·Hanging
A 60-year-old man with recent pituitary surgery developed persistent fatigue and depressive symptoms. Despite normal cortisol levels, he remained convinced his symptoms were due to hormonal deficiency rather than depress…
40y · Female·Cerebral oedema of unknown aetiology with probable contribution from Hashimoto's…
Sarah Louise Rose, aged 40, died from cerebral oedema of unknown aetiology with probable contribution from Hashimoto's encephalopathy. She had been diagnosed with Hashimoto's thyroiditis in late 2011 and prescribed thyro…
38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…
A 38-year-old man with secondary adrenal insufficiency from childhood chemoradiation died from sepsis complicating a chest wall abscess and bronchopneumonia, precipitated by an adrenal crisis. He presented to his GP with…
17y · Male·Diabetic ketoacidosis
Caleb Pearson, a 17-year-old with undiagnosed Type 1 diabetes, presented with pharyngitis and was diagnosed and treated for a throat infection by his GP on 25 May 2015. Over the following two days he deteriorated with vo…
55y · Male·Aspiration pneumonia arising as a consequence of severe acquired brain injury
Sydney Dale Stanfield, 55, died from aspiration pneumonia secondary to severe acquired brain injury sustained in childhood. He resided in a disability accommodation service group home and had multiple comorbidities inclu…
53y · Male·unascertained
BD, a 53-year-old man with insulin-dependent diabetes, went missing on 14 July 2014 after withdrawing his bank savings, writing a note requesting cheapest cremation, and driving to a remote woodland area near Euroa, Vict…
49y · Female·Widespread small and large bowel, splenic and hepatic infarction secondary to se…
Susan Bourke, a 49-year-old woman, died from widespread small and large bowel infarction secondary to severe aortic atherosclerosis causing critical stenosis of the superior mesenteric and coeliac arteries. She presented…
65y · Female·Aspiration pneumonia following emergency laparotomy for incarcerated umbilical h…
A 65-year-old woman with intellectual disability, congenital blindness, diabetes, and epilepsy presented with an incarcerated umbilical hernia requiring emergency surgery. Post-operative aspiration occurred in recovery w…
66y · Male·unascertained
A 66-year-old man with insulin-dependent diabetes mellitus and severe hypoglycaemia unawareness died on 20 June 2013, the day after commencing a Medtronic Paradigm insulin pump. He was found collapsed at home after plann…
63y · Male·Hypotensive and atherosclerotic heart disease
A 63-year-old male prisoner with Type II diabetes, hypertension, obesity and coronary atherosclerosis died of cardiac arrhythmia while engaged in farm work at a minimum-security prison. Dr L. provided acceptable diabetes…
86y · Male·Septic shock secondary to urosepsis
Robert Avery, 86, was admitted to Valley Private Hospital for colonoscopy to investigate constipation. After the procedure was cancelled due to respiratory concerns, he was managed with fluid restriction, bowel preparati…
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