SJM - Non-inquest findings
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…st input; prescribing practices require documentation of clinical reasoning, baseline investigations (ECG, renal function), and regular reassessment.
301 results for “renal disease”
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…st input; prescribing practices require documentation of clinical reasoning, baseline investigations (ECG, renal function), and regular reassessment.
76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…
A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…
86y · Male·Sepsis associated with a pericolic abscess, complicated by terminal large intest…
…ility; managing patients who refuse standard treatments (he refused BiPAP); recognising that diverticular disease can lead to pericolic abscess and sepsis; and understanding that palliative care was ultimately appropria…
58y · Male·Hypertensive and valvular heart disease
Kevin McCracken, 58, died of hypertensive and valvular heart disease following sudden cardiac collapse in a prison pre-release unit. He had complex pre-existing cardiac disea…
44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…
…Inpatient Treatment Order for psychiatric assessment. Despite improvements initially, her underlying lung disease precluded intubation. She deteriorated and died 4 days later. Clinical lessons include: recognition that …
47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …
A 47-year-old woman with hypertension, high cholesterol, and significant family history of early cardiac disease presented to a country hospital ED with acute crushing central chest pain (10/10), shortness of breath, a…
79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…
A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventricular failure (EF 33%) on day 1 of admission. Two cardiologists had key roles: Dr …
68y · Male·Bronchopneumonia in a man with chronic obstructive pulmonary disease
Maris Kugis, a 68-year-old man with chronic schizophrenia, personality disorders, and multiple serious physical conditions including COPD, ankylosing spondylitis, and undiagnosed pancreatic adenocarcinoma, died from bron…
63y · Female·metastatic adenocarcinoma of the lung
…s the complexity of managing terminally ill patients with concurrent psychiatric symptoms from metastatic disease, and the importance of multidisciplinary assessment and end-of-life planning.
75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery
A 75-year-old man with complex comorbidities including Parkinson's disease and cognitive impairment underwent two-stage lumbar spine surgery for degenerative disc disease with sten…
9y · Female·Aspiration pneumonia due to cerebral palsy and seizures
…ed with fundoplication. After initial improvement, her condition deteriorated with worsening pneumonia and renal dysfunction. The coroner found no clinical errors in medical management. However, a systemic issue was ide…
79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…
John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra…
53y · Male·Multi-organ failure due to sepsis
Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre.…
19y · Female·Meningococcal septicaemia
…riaxone at 1.30pm), intensive supportive care with vasopressors, ICU admission, and specialist infectious disease input. Despite aggressive treatment including fluid resuscitation, multiple antibiotics, and organ suppor…
69y · Female·Aspiration pneumonia in a woman with intellectual disability
Elizabeth Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined…
81y · Male·Head injuries sustained in a motor vehicle incident (pedestrian) in a man with i…
An 81-year-old man with ischaemic cardiomyopathy, diabetes, previous stroke, and peripheral vascular disease was struck by a motor vehicle while crossing Cranbourne Road in Frankston. He sustained severe head injur…
76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…
Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …
49y · Male·Complications of Influenza A infection
Richard Mark Ray, a 49-year-old prisoner, died from complications of Influenza A infection after deteriorating rapidly from initial viral symptoms. He presented on 18 March 2019 with fever, body aches and cough, treated …
46y · Male·Haemopericardium complicating aortic dissection
A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation. A cardiol…
81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…
An 81-year-old woman with Alzheimer's disease, osteoporosis, and severe coronary artery disease died from acute pyelonephritis (kidney infection) combi…
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