Coronial

30 results for spinal imaging

QLDhome2007-03-22

Dee, Fiona Jane

32y · Female·Hypoxic brain injury due to a combination of factors arising from subdural haema…

A 32-year-old fit and healthy woman died from hypoxic brain injury following complications of spinal anaesthesia for caesarean section. She developed a subdural haematoma (rare complication) and persistent p…

obstetricsanaesthesiacommunicationdiagnosticcarbamazepine
TASaged care2022-11-09

Coroner's Finding: Tate, Barry Ronald

75y · Male·bronchopneumonia

Barry Ronald Tate, 75, died of bronchopneumonia following a fall at a palliative care ward. He sustained an unwitnessed fall on 26 September 2019 while attempting to shave himself without assistance, despite being advise…

palliative careoncology
TAShospital2023-02-20

Coroner's Finding: de-identified RI

68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…

…prior splenectomy was absent despite characteristic blood film findings (Howell-Jolly bodies) in 2012 and imaging findings suggesting splenic dysfunction in 2010; (2) asplenic patients require prophylactic vaccination, …

general medicinegeneral practicediagnosticcommunicationparacetamol
NThospital2015-02-19

Inquest into the death of Victor Campbell

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…

oncologypalliative caredexamethasone
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

…Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his February fall, Mr Barr…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication
VICaged care2019-07-31

Finding into death of Hong Tay

63y · Male·Sepsis in a man with complicated peripheral vascular disease

Hong Tay, a 63-year-old man with extensive peripheral vascular disease, diabetes, and prior amputations, died from sepsis in an aged care facility following a cervical spine fracture sustained in a fall. After conservati…

geriatric medicinepalliative carecommunicationsystemfentanyl
VIChospital2013-06-20

Finding into death of Thomas James Brigham

38y · Male·metastatic lung carcinoma

…te, and a persistent cough. Despite multiple medical consultations and investigations (X-rays, CT scans), imaging focused on musculoskeletal pathology and missed the underlying malignancy. When sent to Bendigo Hospital …

general practiceemergency medicinediagnosticcommunication
VICaged care2011

Finding into death of Mr CR

43y · Male·hypoxic brain injury secondary to asphyxiation by ligature

…ain injury due to asphyxiation by ligature while an inpatient at a rehabilitation centre. He had undergone spinal surgery for back pain and cauda equina syndrome but was failing to improve. On 10 April, nursing staff lea…

neurosurgeryrehabilitation medicinecommunicationsystem
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…

general practicegeriatric medicinemedicationcommunicationoxazepam
SAhome2013-02-13

Coroner's Finding: MILLER Franklin Delano

58y · Male·metastatic adenocarcinomatosis with unknown primary source

…al or further investigation as recommended, the treating GP adopted a 'wait and see' approach with repeat imaging planned for 6-12 months, citing the patient's reluctance to travel to Adelaide. No documentation of this …

general practiceoncologydiagnosticcommunication

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