39 results for “acute on chronic renal impairment”
90y · Male·Pneumonia in a man with traumatic brain injury
…jury sustained from multiple falls while imprisoned. He had numerous comorbidities including hypertension, renal impairment, and age-related frailty. A fall on 13 June 2013 resulted in a small subdural haematoma. A seco…
83y · Female·Complications following fracture and surgical repair of the left hip in an elder…
Nola Inez Daniel, 83, died from complications following a hip fracture and subsequent surgery at Bunbury Regional Hospital on 7 January 2010. She sustained a fractured left neck of femur during a fall at Regis Forrest Ga…
59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…
Arthur James Bonney, a 59-year-old prisoner with advanced cardiac disease, chronic kidney disease, and diabetes, underwent a CT scan with iodinated contrast on 30 July 2015 at Fiona Stanle…
91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…
…ly 2014. He had been admitted voluntarily and subsequently placed on mental health detention orders due to acute confusion and agitated behaviour. The critical clinical lesson is the need to investigate delirium urgentl…
79y · Male·Ischaemic heart disease
…mic heart disease while serving a life sentence for murder. He had severe triple-vessel coronary disease, chronic lung disease, and was on maximal medical therapy. The coroner found his care in prison was of appropriate…
64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis
…nary artery disease, presented to Royal Perth Hospital on 15 December 2023 with an infected foot wound and acute psychosis. Initial troponin elevation was determined to be a false positive (assay interference). He was a…
2y · Male·Complications of malnutrition
…s of malnutrition and dehydration on 3 July 2021. Post-mortem examination revealed severe undernutrition, chronic malnutrition, and significant dehydration with hypernatraemia. Clinical evidence suggested malnutrition h…
11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…
Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and v…
68y · Female·Coronary heart disease
A 68-year-old woman with diabetes, hypertension, hypercholesterolaemia, COPD and chronic renal failure presented with chest pain and dyspnoea. She was admitted with suspected congestive cardiac …
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following hi…
45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…
…ases need specialist re-consultation before implementation; anaphylaxis management requires immediate IM adrenaline and appropriate monitoring environment.
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
A 55-year-old woman with complex medical history including chronic pain, previous multiple abdominal surgeries, gastrointestinal disorders, mental health issues including D…
54y · Male·Respiratory failure secondary to prolonged ventilation for management of sepsis …
Christopher McIntosh, a 54-year-old man with Type II diabetes and chronic foot ulcers, died from respiratory failure secondary to sepsis arising from an infected foot ulcer requir…
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…
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 o…
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 fol…
85y · Female·Pulmonary embolus secondary to deep vein thrombosis, precipitated by minor fall
An 85-year-old woman died from pulmonary embolism secondary to deep vein thrombosis following a minor fall. She was admitted to Maryborough Hospital with chest infection and abdominal pain. Despite being identified as hi…
84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…
… facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nurse consultant (CNC) and GP initiated end-of-life palliati…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
…vealed large gastric perforation with peritonitis. She died 14 March 2009 from pneumonia in the setting of acute peritonitis. Key preventable failures included: Dr M. placing a second balloon in a high-risk elderly pati…
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