Coronial

301 results for renal disease

NSWhospital2015-12-02

Inquest into the death of Dr Peter Domachuk

33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…

…ion included hypotension (97/61), tachycardia (116/min), hyponatraemia (129 mmol/L), elevated lactate, and renal impairment—findings consistent with Addison's disease. A registrar ordered a cortisol test, but this was n…

emergency medicinegeneral medicinecommunicationsystemdiclofenac
VIChome2022-07-20

Finding into death of Brian Kevin Scurrah

75y · Male·Complications of multiple myeloma (palliated)

…e clinical management or the decision to pursue palliative care, which was appropriate given his advanced disease and poor functional status. The case highlights the importance of shared decision-making in advanced mali…

oncologypalliative careamiodarone
SAhospital2019-06-21

Coroner's Finding: COOK Janet Ann

79y · Female·multi-organ failure as a result of ischaemic and valvular heart disease with uri…

Janet Ann Cook, aged 79, died of multi-organ failure complicated by hydromorphone toxicity on 30 September 2015. She was mistakenly administered 16mg hydromorphone intended for another patient (room 28 vs room 26) on 21 …

cardiologypalliative caremedicationcommunicationhydromorphone
SAhospital2021-06-30

Coroner's Finding: VOIVODICH Guido

84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …

84-year-old man with end-stage dementia died from general inanition following a fractured neck of femur sustained while under a Level 2 Inpatient Treatment Order. He was admitted in January 2019 with confusion and agitat…

psychiatrygeriatric medicineapixaban
WAaged care

Inquest into the Death of Nola Inez DANIEL

83y · Female·Complications following fracture and surgical repair of the left hip in an elder…

Mrs Nola Inez Daniel, an 83-year-old with chronic lung disease, osteoporosis, and cardiac disease, was admitted to Regis Forrest Gardens for respite care on 24 December…

orthopaedic surgeryemergency medicinediagnosticcommunicationfentanyl
VIChospital2011-09-19

Finding into death of Stephen Johnson

47y · Male·Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis

…ic symptoms and elevated liver markers, which were initially attributed to possible alcohol-related liver disease. Despite appropriate investigations and antibiotics once the organism was identified, his condition deter…

emergency medicineinfectious diseasesdelay
SA2025-11-14

Coroner's Finding: Porter, Peter Raymond

65y · Male·metastatic prostate cancer complicated by deep vein thromboses

Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…

oncologyurologyduodart
VIChome2024-01-24

Finding into death of HM Q

5y · Unknown·Aspiration pneumonia complicating a gastrointestinal illness in a child with cer…

HMQ was a 5-year-old with severe cerebral palsy (GMFCS level 5), genetic disability (CACNA1A deletion), intractable epilepsy, and aspiration risk who died from aspiration pneumonia following a gastrointestinal illness. H…

paediatricsneurology
TASaged care2015-11-12

Coroner's Finding: Henri, Paul Lucien

78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…

Paul Henri, 78, died from cerebral infarction and hypoxic brain damage following aspiration pneumonia and opioid-related complications. He was admitted to an aged care home and commenced on MS Contin (morphine) 30mg dail…

general practiceneurologymedicationdiagnosticmorphine
VIChospital2015-07-01

Finding into death of Robert Charles Avery

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…

surgerygastroenterologycommunicationsystemmixtard insulin
ACThome2017-03-23

AN INQUEST INTO THE DEATH OF PAP

55y · Male·Septicaemia due to hydronephrosis and infection

A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, …

cardiologypsychiatrysystemcommunicationwarfarin
VICaged care2012-04-04

Finding into death of Alexsandra Birute Volkas

85y · Female·Coronary artery disease and heat exposure

An 85-year-old woman with coronary artery disease was admitted to a low-care supported residential service following bowel surgery. She was frail, hard of …

geriatric medicinepsychiatrysystemcommunication
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care th…

general practiceemergency medicinecommunicationsystem
SAaged care2026-02-12

Coroner's Finding: D Angelo, Adelina

88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…

An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged c…

general practicegeriatric medicinediagnosticcommunicationfurosemide
NTmental health2015-01-21

Inquest into the death of Anthony Faulkner

42y · Male·Sudden cardiac death in the context of schizophrenia

Anthony Graham Greig Faulkner, a 42-year-old man with longstanding schizophrenia (formerly diagnosed as bipolar disorder), died suddenly on 23 September 2013 while an involuntary psychiatric patient at Cowdy Ward, Royal …

psychiatrygeneral medicinepaliperidone
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

…ctual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She presented acutely with a leg wound and was found to have cardiac tamponade from pericar…

paediatricsgeneral practicesystemdelaytemazepam
WAprison

Inquest into the Death of Ian HEAD

74y · Male·cardiac arrhythmia in an elderly man with chronic obstructive pulmonary disease …

Ian Head, a 74-year-old man with chronic obstructive pulmonary disease, hypertension, and chronic kidney disease, died from cardiac arrhythmia following COVID-19 infection whil…

general practiceemergency medicinecommunicationsystemparacetamol
QLD2022-11-15

Childs, Dennis William

64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …

Dennis Childs, a 64-year-old Indigenous man serving a life sentence, died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused …

emergency medicinegeneral surgerydiagnosticdelaymorphine
NT2014-07-21

Inquest into the death of Ryan Smiler

39y · Male·cardiac arrest caused by alcoholic cardiomyopathy

… medication decisions, particularly the decision not to restart warfarin, were reasonable given his liver disease and non-compliance.

cardiologyemergency medicinedelaywarfarin
NSWhospital2016-10-26

Inquest into the death of Audrey MacGREGOR

88y · Female·combined effects of an overdose of hydromorphone and complications of pneumonia …

An 88-year-old woman with chronic lung disease, heart disease, and recent pneumonia following faecal transplant for clostridium difficile colitis was pr…

cardiologyrespiratory medicinemedicationcommunicationhydromorphone
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