Coronial
QLDhospital2021-02-24

Petzler, Dennis Michael

59y · Male·Carcinomatosis due to adenocarcinoma of the pancreas

…e to adenocarcinoma of the pancreas with extensive metastatic spread. He presented with abdominal pain and nausea in June 2018, initially managed as gastritis. A hospital referral on 2 July 2018 revealed advanced metasta…

oncologygeneral medicinedexamethasone
VIChospital2024-05-10

Finding into death of Peter Fiorakis

72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…

…rent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with nausea, vomiting and decreased appetite. CT imaging revealed high-grade small bowel obstruction, large paraoesoph…

general medicinesurgery
NSW2024-05-17

Inquest into the death of Vicki Higgins

48y · Female·Ischaemic bowel, with contributing conditions of coronary artery disease, diabet…

…ng an unprecedented COVID-19 outbreak causing severe staff shortages. Throughout her custody, she reported nausea, vomiting, inability to eat or drink, and requested hospital transfer on multiple occasions. Expert eviden…

general practicegastroenterologydiagnosticdelay
NSWhospital2016-06-09

Inquest into the death of William MacDONALD

90y · Male·Complications arising from a gastrointestinal obstruction; incarcerated inguinal…

…d by an incarcerated inguinal hernia. He presented to Prince of Wales Hospital with severe abdominal pain, nausea, and vomiting on 11 May 2015. Surgical consultation determined his condition was not survivable and operat…

general surgerygeneral medicine
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

…d pancreatic adenocarcinoma. She had presented months earlier with gastrointestinal symptoms (weight loss, nausea, vomiting, epigastric burning) initially attributed to relapse of eating disorder in context of life stres…

general medicineoncologydiagnostictramadol
QLDhome2010-09-03

Graham, Travis Noel

31y · Male·Overdose of quetiapine (Seroquel) in combination with alcohol

…nd again in November 2007. A doctor prescribed Seroquel in November 2007 but recorded it as ceased due to 'nausea' following a serious overdose, without taking any steps to prevent further dispensing. The prescription re…

general practicepsychiatrysystemcommunicationquetiapine
QLDhospital2015-03-30

Mulhall, Terrance - Non-inquest findings

48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension

…vented recognition of undiagnosed angina before surgery. The patient presented to ED with chest tightness, nausea and left arm tingling, suggesting angina, but this diagnosis was not communicated to his GP, urologist or …

anaesthesiaurologycommunicationdiagnostictelmisartan
TAShospital2017-05-17

Coroner's Finding: Woulleman-Jarvis, Anne Maree 2017 TASCD 188

62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…

… report. Five days later, the patient presented to ED with worsening headaches unresponsive to opioids and nausea. Despite her anticoagulated status, recent head trauma, and concerning symptoms, the ED registrar (Dr P.) …

general practiceemergency medicinediagnosticcommunicationwarfarin
VIChospital2026-01-29

Finding into death of William Anthony Daniel

72y · Male·Complications of a gastroduodenal perforation (palliated) in the setting of mult…

…t and multiple comorbidities, presented to Box Hill Hospital on 7 November 2024 with postural hypotension, nausea, vomiting and abdominal pain. CT imaging revealed a gastroduodenal perforation with free fluid and pneumop…

general surgeryemergency medicineantibiotics
VICcommunity2020-01-31

Finding into death of Francis John Stewart

38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…

…id not highlight his adrenal insufficiency as a critical alert. The patient had gastrointestinal symptoms (nausea) on 14 July, a non-specific sign of impending adrenal crisis that was attributed to antibiotics. The coron…

general practiceendocrinologydiagnosticcommunicationprednisolone
NSW2017-11-16

Inquest into the death of Garry Weigand

56y · Male·fatal cardiac arrhythmia due to complications from acute bronchopneumonia and ar…

…cohol use prior to custody had suppressed his immune system. He presented with only non-specific symptoms (nausea, reduced appetite) without typical pneumonia signs. The coroner found that pneumonia diagnosis would have …

respiratory medicinepsychiatrymetoclopramide
NSWprison2017-03-31

Inquest into the death of Keith HOWLETT

49y · Male·complications of non-small cell carcinoma of the lung

Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…

general practiceoncologydiagnosticsystem
TAShospital2024-11-07

Coroner's Finding: Flynn, Christine Joy

68y · Female·haemopericardium resulting from perforation of the pericardial sac during laparo…

…om mesh tacks placed near the diaphragm. She developed hypotension two hours post-operatively, followed by nausea, collapse, and cardiac arrest. The coroner accepted expert opinion that mesh fixation with tacks in hiatus…

general surgerycardiothoracic surgeryprocedural
VIChospital2018-10-16

Finding into death of Leli Pulis

55y · Male·Multiple injuries sustained in a fall from a height

A 55-year-old man died from multiple injuries sustained in a fall from a height while clearing guttering from his home carport. He fell through corrugated iron and plastic roofing onto concrete from approximately 3-4 met…

neurosurgeryorthopaedic surgerysystemfentanyl
NT2015-10-16

Inquest into the death of John Angeles

79y · Male·Ischaemic heart disease

John Angeles, aged 79, died of ischaemic 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 h…

cardiologypalliative caredelaymorphine
VIChospital2026-02-27

Finding into death of PDR

78y · Male·Acute pancreatitis

…e chronic physical conditions died from acute pancreatitis on 12 May 2025, nine days after presenting with nausea and vomiting at Thomas Embling Hospital (a forensic mental health facility). He was rapidly transferred to…

emergency medicinepsychiatryolanzapine
TAScommunity2020-11-23

Coroner's Finding: Ridgeon Beryl Jean

83y · Female·haemopericardium due to ruptured acute myocardial infarction with underlying cor…

…l infarction (STEMI), but this critical finding was missed by clinical staff. She was discharged with anti-nausea medication. She died at home the following day from haemopericardium secondary to rupture of acute myocard…

emergency medicinecardiologydiagnosticcommunicationmetoclopramide
TAShospital2020-04-01

Coroner's Finding: Button, Shirley Gwendoline

69y · Female·subdural haematoma

A 69-year-old woman sustained a head injury from a witnessed fall, striking her head on a brick wall. She lost consciousness, experienced headache, vision problems and vomiting. CT imaging at the emergency department mis…

emergency medicineradiologydiagnosticanticoagulant
NSW2022-03-18

Inquest into the death of Jeffrey Ellington

32y · Male·Subarachnoid haemorrhage due to ruptured cerebral aneurysm

…stigation. His headache complaints were not accompanied by classical symptoms of subarachnoid haemorrhage (nausea, vomiting, collapse). Resuscitation efforts were prompt and appropriate. The coroner concluded there was n…

forensic medicineneurosurgerymethadone
SAcommunity2009-08-17

Coroner's Finding: TURNER Brian Raymond

59y · Male·ischaemic heart disease due to coronary atherosclerosis

Brian Raymond Turner, 59, died from ischaemic heart disease due to coronary atherosclerosis following an out-of-hospital cardiac arrest in a medical clinic car park. He experienced symptoms of chest discomfort and breath…

cardiologyemergency medicinecommunicationdelay

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