Coronial
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SAhospital2020-06-17

Coroner's Finding: TIERNAN John Joseph

78y · Male·large left basal ganglia intracerebral haemorrhage with mass effect

John Joseph Tiernan, 78, died from a large left basal ganglia intracerebral haemorrhage with mass effect while admitted under an Inpatient Treatment Order (ITO) for acute hyperactive delirium. He had stage 4 lung cancer …

psychiatryneurology
VIChome2020-06-15

Finding into death of Gordon Malcolm Wallace

71y · Male·Plastic bag asphyxia and argon gas inhalation

A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Over 12 years of progressive cancer treatment, multiple surg…

nephrologyoncologysystemargon gas
NSWhospital2020-06-12

Inquest into the death of Thomas John KEDWELL

66y · Male·respiratory infection on a background of metastatic carcinoma

Thomas Kedwell, aged 66, died in custody at Prince of Wales Hospital from respiratory infection secondary to metastatic carcinoma. He had undergone laryngectomy and tracheostomy for throat cancer in 2017, and presented w…

oncologypalliative carebuprenorphine/naloxone
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with terminal lung …

respiratory medicineoncology
VIChospital2020-06-09

Finding into death of Lance Robert Nikkelson

47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma

Lance Robert Nikkelson, a 47-year-old Aboriginal man in prison custody, died from complications of cirrhosis and metastatic hepatocellular carcinoma. He presented with abdominal pain in May 2019, initially assessed as co…

hepatologyoncologydiagnosticmethadone
WAhospital2020-06-03

Inquest into the Death of Michael Warren DYBALL

56y · Male·bronchopneumonia complicated by multiorgan failure and hypoxic ischaemic encepha…

Michael Dyball, a 56-year-old prisoner with chronic kidney disease, hepatitis C, and treated oropharyngeal squamous cell carcinoma, collapsed in his prison cell and suffered cardiopulmonary arrest on 28 April 2016. He di…

nephrologyoncologydarbepoetin alfa
SAhospital2020-05-28

Coroner's Finding: OLIVER Ian Arthur

81y · Male·haemorrhage from metastatic squamous cell tumour of the right axilla

An 81-year-old man with extensive comorbidities (cardiac failure, COPD, diabetes, renal failure) presented with a right axillary squamous cell carcinoma with metastases. He was admitted for palliative care and pain manag…

oncologypalliative care
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

Mark Graham Newstead, a 51-year-old man with schizophrenia and untreated hepatitis C, died from metastatic small round cell tumour (Ewing's Sarcoma) while in custody. He presented with urinary retention and lower limb we…

orthopaedic surgeryspinal surgery
SAhospital2020-05-21

Coroner's Finding: SOMMERVILLE Adam

73y · Male·metastatic small cell lung cancer and sepsis

A 73-year-old man with metastatic small cell lung cancer and sepsis died in Royal Adelaide Hospital while in prison custody. He had been sentenced in May 2015 and received appropriate oncology care including chemotherapy…

oncologyradiation oncologybuprenorphine
SAhospital2020-05-21

Coroner's Finding: JAKSA Stan

82y · Male·malignant mesothelioma (palliated)

Stan Jaksa, aged 82, died from malignant mesothelioma with palliation at Repatriation General Hospital. He was admitted with confusion and behavioral changes attributed initially to frontotemporal dementia but reassessed…

geriatric medicinepsychiatryquetiapine
SA2020-05-08

Coroner's Finding: ENCHEFF Dragni

74y · Male·metastatic adenocarcinoma of the lung on a background of ischaemic heart disease…

A 74-year-old prisoner with metastatic lung cancer, ischaemic heart disease, peripheral vascular disease, and diabetes died at Yatala Labour Prison Health Centre. He was diagnosed with advanced lung cancer in April 2016 …

correctional healthrespiratory medicine
WAhospital2020-04-02

Inquest into the Death of Benedict Chifley David CANDY

66y · Male·bronchopneumonia in a man with invasive sarcoma-like tumour of the head, with te…

Benedict Chifley David Candy, a 66-year-old sentenced prisoner, died from bronchopneumonia complicating invasive sarcoma-like tumour of the head with terminal palliative care. He had a recurrent Merkel cell carcinoma tha…

oncologypalliative caremorphine
WAhospital2020-03-20

Inquest into the Death of Norman Alexander HAZELGROVE

73y · Male·metastatic carcinoma of the lung with palliation

Norman Hazelgrove, a 73-year-old prisoner, died from metastatic lung carcinoma in September 2017. Early in his imprisonment (2013), a chest X-ray showed COPD but this diagnosis was not formally documented or managed desp…

respiratory medicineoncologydiagnosticsystemantihypertensive medication
VIChospital2020-02-26

Finding into death of James John Wilson

47y · Male·Metastatic mesothelioma

James John Wilson, a 47-year-old man imprisoned at Port Phillip Prison, died from metastatic mesothelioma on 5 May 2019 at St Vincent's Hospital. He was diagnosed with epithelioid mesothelioma in January 2019 following C…

oncologypalliative caresalbutamol
NSWhospital2020-02-25

Inquest into the death of Kerry Curtis

78y · Male·multi-lobar pneumonia and pleural effusions on a background of urothelial carcin…

Kerry Curtis, a 78-year-old prisoner with multiple chronic conditions including COPD, bladder cancer, and cardiac disease, died of multi-lobar pneumonia and pleural effusions following chemotherapy for invasive bladder c…

oncologygeriatric medicine
NSWhospital2020-02-21

Inquest into the death of Peter SIMPSON

68y · Male·Terminal lymphoma (mantle cell lymphoma)

Peter Simpson, a 68-year-old man serving a prison sentence, died from terminal mantle cell lymphoma at Long Bay Hospital in September 2018. He had been diagnosed with lymphoma in 2015 and received chemotherapy and surgic…

oncologyhaematologymorphine
NSWmental health2020-02-07

Inquest into the death of Chella Leijten

57y · Female·metastatic lung carcinoma

Chella Leijten, aged 57, died from metastatic lung carcinoma on 21 March 2018 while an involuntary patient in a palliative care unit. She had longstanding schizoaffective disorder requiring repeated psychiatric admission…

psychiatrypalliative care
VICcommunity2020-01-31

Finding into death of Francis John Stewart

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…

general practiceendocrinologydiagnosticcommunicationprednisolone
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
VIChospital2020-01-06

Finding into death of Patricia Faye Stone

71y · Female·Complications of metastatic intra-abdominal malignancy (unknown primary)

Patricia Faye Stone, a 71-year-old woman with mild intellectual disability living in disability services residential accommodation, presented to Austin Hospital in January 2018 with metastatic intra-abdominal malignancy …

palliative careoncology
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