129 results for “chest imaging”
81y · Male·acute subdural haematoma
…ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause for syncope based on chest pain, referred him for cardiology, and did not perform a head CT scan despite clear evidence of head injur…
63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…
…nal Centre on 10 April 2013. He was assessed by medical staff and seen by a doctor promptly. By May 2013, imaging revealed an irregular nodule that was later found to be metastatic adenocarcinoma of the lung with widesp…
70y · Male·chronic obstructive lung disease with emphysema on a background of advanced vasc…
… at a residential care facility. He was admitted to hospital on 10 March 2015 with shortness of breath and chest pain, found to have a large left spontaneous pneumothorax requiring chest drain insertion. Despite drain p…
4y · Female·consequences of incarcerated congenital left diaphragmatic hernia
…esity and did not adequately consider the vomiting as potentially serious, declining to order abdominal or chest imaging. When presenting to hospital in collapse, she was discharged after brief assessment without imagin…
81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…
…ation charts rather than 'track and trigger' systems—a MET call should have been initiated at 3:00 pm when chest pain and hypotension were noted; (2) delay in obtaining chest X-ray despite clinical indicators; (3) inade…
Male·aspiration pneumonia
…at Royal Hobart Hospital on 12 July 2020. He presented on 6 July with fever and difficulty swallowing; CT imaging confirmed pneumonia. His condition deteriorated rapidly and palliative care was commenced on 9 July. Medi…
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.
73y · Male·complications of lung carcinoma in a man with multiple comorbidities
… hypertension, hyperlipidemia) and a chronic smoking history, died from complications of lung carcinoma. A chest X-ray in September 2011 suggested possible underlying lesions but Mr Macfie repeatedly refused CT imaging …
1y · Female·Dilated cardiomyopathy
…al diagnosis not reconsidered despite lethargy unusual for croup and lack of typical diurnal variation; no chest X-ray obtained when persistent tachypnoea should have prompted imaging. Earlier diagnosis with chest X-ray…
58y · Male·adenocarcinoma of the right lung
… Secure Unit. He presented in November 2007 with respiratory symptoms initially misdiagnosed as infection; chest imaging and pleural fluid analysis eventually confirmed lung cancer. He received appropriate multidiscipli…
84y · Male·staphylococcus aureus sepsis complicating metastatic malignancy
…alth assessment identified multiple comorbidities including heart disease, dementia, and hypertension. CT imaging revealed pleural effusion and gastro-oesophageal mass; a chest drain was inserted and palliative care ini…
74y · Male·Hospital acquired pneumonia complicating chronic lung disease
…pneumonia complicating chronic lung disease. He was admitted to Royal Melbourne Hospital in July 2016 with chest pain and delirium attributed to hyponatraemia and GORD. He was subsequently transferred to transitional ca…
63y · Male·Complications of disseminated tumour (primary site unknown)
…eatment Order. His cancer was diagnosed in November 2012 after investigation of recurrent haemoptysis and imaging abnormalities. He was admitted to McKenna House Palliative Care Unit on 29 December 2013 for end-of-life …
79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…
… warrants urgent investigation; (2) oxygen desaturation (3am) was a red flag requiring medical review and imaging which was not obtained; (3) Dr J.'s assessment at 9.45am, concluding discharge fitness despite seven vomi…
56y · Male·coronary atherosclerosis
…P on 17 and 21 February 2020 with respiratory symptoms (cough, shortness of breath, fever) attributed to a chest infection. Critical clinical lesson: Roberts had multiple uncontrolled cardiovascular risk factors (hypert…
62y · Male·Complications of metastatic malignancy (likely lung primary)
…nificant weight loss (40kg) during incarceration was noticed but not formally documented as a concern. CT imaging on 2 October 2024 revealed advanced metastatic disease. He presented to hospital on 13 October with confu…
55y · Male·ruptured dissection of the thoracic aorta
…upture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 November 2010 and was transferred to Swan Districts Hospital wh…
40y · Male·haemopericardium complicating ascending thoracic aortic dissection
A 40-year-old man presented to the Northern Hospital ED with acute chest pain radiating to his throat, diaphoresis, and left hand tingling. Initial assessment by a junior doctor a…
76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…
… home. He was admitted to hospital on 9 February 2022 with post-fall pain, sweating, and irregular pulse; imaging revealed early lung consolidation and acetabular fracture. He was treated with antibiotics and analgesia …
75y · Female·Haemopericardium due to dissection of the ascending aorta
…mopericardium due to ascending aortic dissection. She presented to her GP on 20 February 2020 with central chest pain radiating to the jaw, which the GP attributed to possible acute myocardial infarction based on her ri…
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