331 results for “CT imaging”
71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…
A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was pe…
65y · Male·Metastatic adenocarcinoma of unknown primary origin
…ugust, with results reported three days later, revealing pulmonary nodes and pleural effusion. Subsequent imaging identified hepatic lesion and metastatic disease. Care after diagnosis was of high standard including pal…
62y · Male·Extensive liver tumour, primary site not identified
…, anorexia and fever. Initial assessment suggested possible hepatitis and he was referred to hospital. CT imaging revealed terminal liver cancer with no identifiable primary site. Active treatment was withdrawn and he d…
77y · Female·haemoperitoneum and retroperitoneal haematoma secondary to Type I aortic dissect…
…8% probability of dissection) and absence of documented cardiovascular examination. Early recognition and imaging (CT angiography) with urgent cardiothoracic surgery could have been life-saving.
71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision
…elow acceptable standard. Prevention required adherence to existing cervical spine protocols, appropriate imaging in elderly trauma patients, and proper clinical correlation with imaging findings.
18y · Male·complications of acute on chronic subdural haemorrhage (operated) in the setting…
…ent. George presented to Frankston ED on 5 November with persistent headache and vomiting; Dr R. declined imaging, citing radiation risk concerns, a decision the coroner found should have been reconsidered. On 25 Januar…
76y · Male·Extensive small bowel infarction caused by superior mesenteric artery thrombus
… presented to ED with sudden onset left-sided abdominal pain, vomiting and bowel incontinence. Initial CT imaging was reassuring. However, mesenteric ischaemia—characterised by severe pain without significant clinical s…
64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall
…ct current standard practice recommending CT scans for anticoagulated patients with head strikes, earlier imaging would not have altered the outcome as his deterioration was due to CJD, not the modest intracerebral blee…
63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities
…nd hypotension. A MET call was initiated and sepsis was suspected. However, clinical staff prioritised CT imaging over immediate antibiotic administration while awaiting blood culture results. She suffered cardiac arres…
57y · Male·large volume ischaemic infarct (stroke)
…yocardial infarction (2009), presented with headache, visual disturbance and gait difficulty in May 2013. Imaging at Launceston General Hospital on 30 May demonstrated vertebral artery dissection, but this was not recog…
22y · Male·Airway obstruction due to laryngeal abscess and laryngeal chondronecrosis due to…
…reported to the on-call ENT junior doctor. The ENT Consultant failed to appreciate the seriousness of the imaging findings and did not conduct an appropriate clinical review. The junior ENT doctor did not escalate conce…
82y · Male·closed head injury (subdural haematoma) sustained in a fall
… patients on anticoagulation with head trauma require urgent INR checking and careful consideration of CT imaging despite initially normal signs; (3) clinical judgment regarding imaging in anticoagulated patients must a…
56y · Male·Complications of a small bowel obstruction
…nia and myocardial infarction, but subsequently deteriorated with tachypnoea and tachycardia. Post-mortem imaging revealed a small bowel obstruction with air-fluid levels but no identifiable cause (likely adhesions). Th…
68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…
…gation for mesenteric ischaemia. By the time mesenteric ischaemia was suspected the following morning and imaging arranged, irreversible bowel necrosis had occurred. The coroner found that earlier recognition of mesente…
84y · Female·acute left subdural haematoma
… patients with dementia, where cerebral atrophy delays symptom recognition. Earlier hospital referral and imaging could potentially have identified the bleed while reversible.
48y · Male·large cell carcinoma of lung with metastases
…roner found no clinical issues. The case highlights the importance of appropriate follow-up of incidental imaging findings and maintaining vigilance for alternative diagnoses in patients with persistent or worsening sym…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
…cility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT brain imaging. Cardiology consultation for suspected myocardial infarction led to prescription of enoxaparin (a second …
69y · Male·Head injury post-collapse secondary to ventricular tachycardia due to ischaemic …
…ith witnessed loss of consciousness and occipital laceration. Despite meeting criteria for urgent head CT imaging (age >65, head injury, loss of consciousness, anticoagulation), this was not performed in the Emergency D…
44y · Male·Sepsis and pulmonary thromboemboli complicating a ruptured cerebral artery aneur…
…sis and treatment would have provided >80% survival chance. Critical failures included: failure to obtain imaging despite explicit GP concern, inappropriate focus on psychiatric presentation, inadequate communication be…
41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…
Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver function and lower limb oedema. She was admitted under…
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