301 results for “renal disease”
Male·Complications of alcohol and hepatitis C-related liver disease
…while on remand in custody. He received appropriate standard medical care in prison for his chronic liver disease and comorbidities. Key clinical lessons include: (1) Patients with decompensated cirrhosis can deteriorat…
44y · Male·Unascertained
Mark Skidmore, a 44-year-old man, died in Port Phillip Prison on 14 February 2017. Post-mortem examination revealed multiple prescribed drugs (methadone, mirtazapine, pregabalin) and unprescribed drugs (clonazepam, trama…
77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…
Mr Neitsch, a 77-year-old with severe aortic stenosis, peripheral vascular disease, and reduced left ventricular function, underwent elective coronary angiography at Princess Alexandra Hos…
80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…
George Kimpton, aged 80, died from vasodilatory shock and multi-organ failure secondary to aspiration pneumonia five hours after cardiopulmonary arrest in hospital following colorectal cancer surgery. He had developed a …
54y · Female·Multi-organ failure following a decreased level of consciousness caused by compl…
Linda Christina Mulvaney, 54, died of multi-organ failure following a prolonged period of unconsciousness caused by a combination of obstructive and central sleep apnoea complicated by sedating substances. On 2 June 2008…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 Novemb…
78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…
Doreen Mansfield, a 78-year-old woman with bipolar affective disorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall i…
69y · Female·multi-organ failure due to sepsis of unknown origin
A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a…
48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension
A 48-year-old man died from myocardial infarction due to ischaemic heart disease and hypertension shortly after undergoing urology surgery. Critical failures in clinical communication pr…
83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…
…rrest while anticoagulated for atrial fibrillation. She had been diagnosed with gastro-oesophageal reflux disease (GORD) in 2015 and prescribed pantoprazole 40mg daily. During her final hospital admission (29 October to…
84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…
Mrs Charlotte Paluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nu…
Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…
…traint in prone positions. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disease, died of sudden cardiac arrest following police restraint during a domestic disturbance call. Robert Plas…
82y · Male·Cardiomegaly, myocardial fibrosis and ischaemic coronary artery disease in the c…
…y. He subsequently died from multi-organ failure in the context of his pre-existing severe cardiovascular disease (cardiomegaly, myocardial fibrosis, triple-vessel ischaemic coronary disease). The gastroenterologist was…
78y · Male·Multiorgan failure consequent upon pulmonary lacerations and haemorrhage sustain…
A 78-year-old man died from multiorgan failure following complications during planned mitral and tricuspid valve surgery. During the initial surgery, a small superficial laceration to the right lower lobe lung occurred, …
58y · Male·effects of chronic alcoholism
…roner found this did not significantly contribute to death. The underlying cause was multifactorial liver disease from decades of alcohol abuse. The coroner found the mental health detention lawful and appropriate, and …
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
Mr Peysack, a 69-year-old with complex cardiac disease on Warfarin, collapsed at work with witnessed loss of consciousness and occipital laceration. Despite mee…
49y · Male·haemopericardium secondary to ruptured aortic dissection
…entifying missed diagnostic opportunities. Key failures included: diagnostic bias towards coronary artery disease with failure to consider aortic dissection differentially; reliance on chest pain pathways that narrowed …
47y · Female·acute respiratory failure in the context of known underlying chronic obstructive…
Rita Alimankinni (Pukumani), aged 47, died from acute respiratory failure while an involuntary mental health patient in the Joan Ridley Unit. Her death was preventable. She had COPD, obesity, and received multiple high-d…
91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…
A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. …
85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …
…lective left total knee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnormal vital signs (low oxygen saturation,…
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