31 results for “metabolic encephalopathy”
2y · Male·Hypoxic ischaemic encephalopathy and intracranial haemorrhage complicating obstr…
A term infant died on day 2 of life from hypoxic-ischaemic encephalopathy and intracranial haemorrhage following obstructed labour requiring emergency caesarean section. The mo…
45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…
…riorating condition until Sunday, 48+ hours later. Her mental status changes (reflecting early hepatic encephalopathy) and reduced urine output were not recognised as indicators of acute liver failure. While paracetamol …
5y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia
Chloe Kellett was born at 39 weeks gestation after induction of labour for rupture of membranes and group B streptococcus positivity. She was delivered by forceps in theatre for a non-reassuring cardiotocogram (CTG) trac…
0y · Male·Perinatal hypoxic ischaemic encephalopathy with severe diffuse cortical necrosis…
George Darcy Key, an 8-day-old neonate, died from perinatal hypoxic ischaemic encephalopathy following labour complicated by excessive syntocinon-induced contractions and delayed obstetric interv…
0y · Female·subgaleal haematoma complicating an obstructed labour
…ructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who was not physically present for much of the earl…
43y · Female·Hypoxic ischaemic brain injury resulting from alcohol and sodium valproate toxic…
… dialysis initiation by >24 hours despite clear indicators (cerebral oedema, cardiovascular instability, metabolic acidosis). Early intubation at PDH, prompt senior escalation, early toxicology consultation, and timely …
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…
0y · Female·perinatal asphyxia
Baby Kylie Hamilton, a 3-day-old neonate, died from perinatal asphyxia following emergency Caesarean delivery during her mother's induced labour. The mother had gestational diabetes and the fetus showed concerning CTG ab…
Male·Hypoxic brain injury arising from intra-uterine asphyxia (causative factors unas…
William Keays was a neonate born at 37 weeks via emergency caesarean section for fetal distress during labour induction with Syntocinon. He was stillborn with Apgar scores of 0/0/1, requiring 12 minutes of resuscitation …
0y · Male·Complications following forceps delivery
A 3-day-old neonate died from complications of instrumental forceps delivery, specifically subgaleal haemorrhage with associated skull fracture and intracranial bleeding. Critical clinical lessons include: (1) complex fo…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
Two neonates died from complications of subgaleal haemorrhage following ventouse extraction. Jessica Stemmer (7 hours old) died from disseminated intravascular coagulation after subgaleal haemorrhage. Thomas Mahar (8 day…
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