Coronial

154 results for malnutrition

WAhome2016-09-30

Inquest into the Death of Janene DEVINE

48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…

A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube de…

neurologygastroenterologysystemdelay
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

…n, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for approximately one week at home before paramedics…

geriatric medicineintensive caredelaysystemasenapine
VIChome2022

Finding into death of Baby A

0y · Male·Pneumonia in the setting of malnutrition

…by A, born at home without medical assistance, died at 19 days old from pneumonia complicated by severe malnutrition and dehydration. He weighed 2.87kg at autopsy, far below his reported 4kg birth weight. He had difficul…

neonatologypaediatricsdelaycommunication
SAhospital2015-09-22

Coroner's Finding: HEWLETT Betty Lorraine

92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…

…und of end-stage COAD. She was admitted to hospital in late December 2012 with health deterioration and malnutrition (38kg). She developed acute psychiatric symptoms including paranoid delusions and refusal of care, lead…

psychiatrygeneral medicineprednisolone
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

… subdural haematomas, and multiple documented falls. Clinical lessons include: recognition that chronic malnutrition and alcoholism cause osteoporosis and increased fall risk; importance of assessing fall risk in patient…

emergency medicinegeneral practicecommunicationsystemalcohol
VIChospital2024-05-13

Finding into death of Gaye Marie Darby

58y · Female·Aspiration pneumonia

Gaye Marie Darby, a 58-year-old woman with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia following a three-week history of worsening dysphagia and anorexia. She presented to hospital with suspect…

geriatric medicinerespiratory medicineceftriaxone
VIC2024-01-25

Finding into death of Maryanne Gordon

69y · Female·Complications of oesophageal squamous cell carcinoma (palliated)

Maryanne Gordon, a 69-year-old woman with intellectual disability and Lewy body dementia living in NDIS-funded supported accommodation, presented with dysphagia and weight loss. Gastroscopy revealed oesophageal squamous …

gastroenterologyoncology
SAhospital2011-09-23

Coroner's Finding: ANDERSON Rosemary Joy

56y · Female·multi-organ failure due to anorexia nervosa

A 56-year-old woman with a long history of anorexia nervosa and a BMI of 10.3 died from multi-organ failure after admission to hospital. She was found on her bedroom floor, dehydrated and malnourished, and was involuntar…

psychiatryintensive care
VIChospital2012-08-24

Finding into death of Cameron Yeates

31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…

… from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe malnutrition secondary to chronically poor diet was not adequately managed despite multiple hospital admissions; (2)…

gastroenterologygeneral practicecommunicationsystemwarfarin
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

… Alice Springs Hospital. She was found hypoglycaemic at home on 5 January 2015 and admitted with severe malnutrition (BMI 9.36), bilateral pneumonia, and multi-organ dysfunction. The treating team, led by psychiatrist Dr…

psychiatrygeneral medicineantibiotics
TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

…from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling under fingernails, dystrophic toenails, and multiple…

geriatric medicinepathologydiagnosticcommunicationirbesartan
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

…ary tract infection, anaemia, acute renal failure, and acute exacerbation of schizophrenia. Significant malnutrition (cachexia, 29kg at autopsy) and weight loss complicated her course. The coroner found psychiatric deten…

psychiatrygeneral medicinerisperidone
WAhome2013

Inquest into the Death of Stevens, Malachi Isaac and Stevens, Lochlan James

10y · Male·Unascertainable

…n (weight dropping below 3rd percentile by 10 months), but was never medically assessed despite obvious malnutrition requiring investigation. The family had been visited by Department for Community Development following …

paediatricsforensic medicinesystemdelay
QLDhospital2007-12-20

Newman, Patricia Dell

72y · Female·Congestive cardiac failure due to or as a consequence of essential hypertension

…ed to Rockhampton Base Hospital on 11 March 2006 with profound hypotension, acute renal failure, severe malnutrition, and multi-organ failure that had developed over weeks to months. Her presentation masked significant c…

general medicinerespiratory medicinecommunication
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

…t Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poor com…

psychiatrygeriatric medicineantipsychotic medications
NSWcommunity2020-03-25

Inquest into the death of Tory GANDERTON

3y · Male·respiratory failure, with spinal muscular atrophy an antecedent cause

… inter-hospital transfer. Admitted to Shoalhaven Hospital on 7 September 2014 with pneumonia and severe malnutrition (50% weight loss in one month), he was transferred to Sydney Children's Hospital for nutritional assess…

paediatricsneurologycommunicationsystemadrenaline
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of i…

psychiatrygeneral medicine
SAhome2003-09-25

Coroner's Finding: SAMMUT-SMITH Jason Peter

16y · Male·fresh water drowning

Jason Sammut-Smith, a 16-year-old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries co…

forensic medicineemergency medicinesystemdelaydiazepam
TAShospital2022-11-16

Coroner's Finding: Phillips, William Garnett

82y · Male·bronchopneumonia

William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…

general practiceemergency medicinedelay
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

…th chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progressively restricted her di…

psychiatrygeneral practicesystemdelayrisperidone
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