Coronial
WAhospital2022-01-25

Inquest into the Death of Carole LIVESEY

54y · Female·unascertained

Carole Livesey, a 54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 durin…

psychiatrygeneral medicinecommunicationproceduralfluoxetine
VIChomePodcast2025-02-11

Finding into death of Kathleen Dawn Arnold

30y · Female·Acute ethanol toxicity on a background of chronic alcoholism

Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…

addiction medicinepsychiatrysystemalcohol
SAcommunity2011-06-22

Coroner's Finding: TATCHELL Melissa Jay

28y · Female·bronchopneumonia complicating oxycodone toxicity

Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doct…

general practiceemergency medicinemedicationdiagnosticoxycodone
VIChospital2011-05-24

Finding into death of James Lawrence Williams

62y · Male·Extensive liver tumour, primary site not identified

James Williams, a 62-year-old man with intellectual disability, presented to his GP with tiredness, anorexia and fever. Initial assessment suggested possible hepatitis and he was referred to hospital. CT imaging re…

general practiceemergency medicine
VICcommunity2019-07-30

Finding into death of Caterina Fratto

45y · Female·Hanging

A 45-year-old woman with bipolar affective disorder, borderline personality disorder, anorexia nervosa and depression died by hanging. She had chronic suicidal ideation and was managed in the communit…

psychiatrygeneral practicecommunicationdocumentationquetiapine
VICmental health2013-07-26

Finding into death of Amy Hauserman

26y · Female·Hypoxic brain injury in the setting of immersion

Amy Hauserman, a 26-year-old woman with schizophrenia and anorexia, was admitted to a psychiatric ward with acute psychosis due to non-compliance with clozapine. Over two d…

psychiatryforensic medicinediagnosticcommunicationclozapine
VIChospital2024-05-13

Finding into death of Gaye Marie Darby

58y · Female·Aspiration pneumonia

…imer's dementia, died from aspiration pneumonia following a three-week history of worsening dysphagia and anorexia. She presented to hospital with suspected aspiration, was initially treated with antibiotics and fluids w…

geriatric medicinerespiratory medicineceftriaxone
VIC2014-02-03

Finding into death of George Manos

53y · Male·Aspiration pneumonia with septic shock in a man with severe intellectual disabil…

…a recognized risk in this population. On 7 August 2012, staff recognized acute deterioration (withdrawal, anorexia) and promptly called a locum doctor, who appropriately identified signs of sepsis and arranged immediate …

general practicegeneral medicine
QLDhospital2009-12-03

Heywood, John Martin

68y · Male·Abnormal heart rhythm (arrhythmia) precipitated by coronary atherosclerosis and …

…he Princess Alexandra Hospital Secure Unit. He had been undergoing medical investigation for weight loss, anorexia, and suspected malignancy. The coroner found he received a high standard of medical care throughout his f…

cardiologyendocrinology
VIChospital2022-11-21

Finding into death of Glenda Elaine Shapcott

65y · Female·Pneumonia and right hip haematoma following a fall in a woman with multiple medi…

Glenda Shapcott, a 65-year-old woman with intellectual disability and multiple comorbidities, died from pneumonia and hip haematoma following a fall. She lived in supported disability accommodation and was under a pallia…

general practiceemergency medicinecarbamazepine
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

…orbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initially refusing vascular intervention for …

cardiologypsychiatrycommunicationhaloperidol
QLDhospital2012-10-26

Chen, Sen Hung

65y · Male·Metastatic adenocarcinoma of unknown primary origin

…mary origin while in custody at Princess Alexandra Hospital Secure Unit. He presented with flank pain and anorexia in June 2010; a CT scan ordered 10 August was not performed until 31 August, with results reported three …

palliative careradiologydelay
VIChome2024-08-28

Finding into death of Ryley Ann Cox

Unknown·Sodium nitrite toxicity

Two deaths from sodium nitrite toxicity: Laurence Cox (63) and his daughter Ryley Cox (32). Laurence had a history of depression, anxiety, chronic pain, and medical conditions including emphysema and legal blindness, and…

psychiatrypsychologysodium nitrite
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

…ary to perforated gangrenous acute appendicitis. She presented with progressive abdominal pain, vomiting, anorexia and malaise over four days before sudden deterioration and death. Her father and his partner attributed s…

paediatricsemergency medicinediagnosticdelayparacetamol
VICcommunity2016-11-22

Finding into death of Claire Marguerite Martin

28y · Female·methadone toxicity

A 28-year-old woman with a history of mental illness and substance use disorder died from methadone toxicity five days after recommencing methadone maintenance therapy (MMT) after a four-month break. She was prescribed 4…

addiction medicinepsychiatrydiagnosticmedicationmethadone
WAmental health- 11 April 2014

Inquest into the Death of Amanda Alison GILBERT

47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…

Amanda Gilbert, aged 47, died from bronchopneumonia with background ischaemic heart disease, chronic renal failure, and hypoxic brain injury from a 1985 hanging attempt. She had been an involuntary patient at Graylands H…

psychiatrygeneral medicinesystemdelaylithium
VIChome2022-01-12

Finding into death of Linda-Jane Margaret Tatterson

40y · Female·combined drug toxicity (clomipramine, sertraline, diazepam, and quetiapine)

Linda-Jane Tatterson, aged 40, died from combined drug toxicity involving clomipramine, sertraline, diazepam, and quetiapine. She had a longstanding history of depression, OCD, and recurrent overdoses between 2014-2016. …

general practicepsychiatrycommunicationsystemclomipramine
VIChospital

Finding into death of Sydney Hugh Kennedy

66y · Male·Complications of chronic lithium therapy

Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…

psychiatrygeneral practicediagnosticcommunicationlithium
NSWhospital2018-12-04

Inquest into the death of June Nutter

58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…

June Nutter, a 58-year-old woman presenting with weight loss, anorexia, and unexplained shortness of breath, underwent gastroscopy and colonoscopy at a private hospital to inve…

anaesthesiagastroenterologymedicationproceduralfentanyl
NSWhospital2010-12-21

Coroner's Finding: Joan Dennison

78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…

…l bowel obstruction caused by abdominal adhesions from previous surgery. She had presented with vomiting, anorexia, weight loss, and x-ray findings showing multiple air-fluid levels and significantly dilated loops of bow…

emergency medicinegeneral surgerydiagnosticcommunicationmetoclopramide

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