Coronial

37 results for ultrasound of liver

QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…

oncologycardiologyprazosin
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

…oses; conservative management of intra-abdominal collections with delayed intervention; lack of specialist liver surgeon during post-operative period; and inadequate nutrition for approximately 10 days. While the corone…

general surgeryintensive carediagnosticdelayantibiotics
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

…intellectual disability died from multiorgan failure complicating severe malnutrition, non-alcoholic fatty liver disease, and obesity. She presented acutely with a leg wound and was found to have cardiac tamponade from …

paediatricsgeneral practicesystemdelaytemazepam
NSWhospital2015-03-16

Inquest into the death of John Gibson

63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…

A 63-year-old man with COPD, liver cirrhosis and alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively h…

surgeryanaesthesiaproceduraldiagnosticdiazepam
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marg…

oncologygeneral practicediagnosticcommunication
NSW2018-02-09

Inquest into the death of Ian James McAuliffe

67y · Male·metastatic prostate cancer

Ian McAuliffe, a 67-year-old man serving a custodial sentence, died from metastatic prostate cancer. The case examined whether his cancer treatment as a prisoner was adequate compared to community care. His oncologist Dr…

oncologypalliative caregoserelin
SA2022-03-30

Coroner's Finding: Papadopoulos, George

63y · Male·disseminated carcinoma (pancreatic cancer with metastases to liver and lung)

…ng from November 2017 onwards. An MRI scan performed in June 2019 revealed advanced pancreatic cancer with liver and lung metastases. The coroner found that medical care provided was appropriate despite diagnostic delay…

general practicecorrectional health
NSW2019-07-15

Inquest into the death of Graham Lawson

68y · Male·Metastatic hepatocellular carcinoma

…loss and weakness in September 2017, and diagnostic imaging in February 2018 confirmed advanced, incurable liver cancer with portal vein involvement. He received palliative treatment including TACE and Sorafenib, which …

oncologypalliative caresorafenib
SAhospital2016-05-25

Coroner's Finding: PALTRIDGE Mellanie Joanne

25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss

…gardless of initial stability; (2) consultant involvement was absent until final collapse; (3) a planned ultrasound examination was not carried out despite clinical deterioration; (4) the 'double rupture phenomenon' with…

obstetricsemergency medicinediagnosticdelayparacetamol
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

…epigastric burning) initially attributed to relapse of eating disorder in context of life stress. Abnormal liver function tests in August 2019 prompted appropriate escalation with imaging revealing advanced pancreatic c…

general medicineoncologydiagnostictramadol
TAShospital2023-05-05

Coroner's Finding: Pedler, Anne Helen

71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis

…e leg pain/swelling over one week. ECG showed S1Q3T3 pattern consistent with pulmonary embolism; bedside ultrasound showed right ventricular strain. Despite presumptive diagnosis of PE being made, no anticoagulation or t…

emergency medicinecardiologydiagnosticdelaycannabis oil
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…

…ater found to be metastatic adenocarcinoma of the lung with widespread spread to ribs, spine, lymph nodes, liver, pancreas and adrenal glands. He received appropriate investigation, oncology assessment including radioth…

oncologypalliative caredexamethasone
VIChospital2021-07-21

Finding into death of Lorinda Stacey Ruff

55y · Female·Complications of metastatic colorectal carcinoma

Lorinda Ruff, a 55-year-old woman with intellectual disability and bipolar disorder, died from complications of metastatic colorectal carcinoma. She presented to her GP on 29 July 2019 with three days of appetite loss an…

general practiceemergency medicine
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

Sean Raymond Adams, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea.…

cardiologyemergency medicinecommunicationsystemhaloperidol
VIChospital2014-03-21

Finding into death of Michelle Johnson

31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…

Michelle Johnson, a 31-year-old pregnant woman at 32 weeks gestation, presented to the Royal Women's Hospital with sudden-onset severe left-sided abdominal pain and hypotension on 21 March 2010. She was assessed by regis…

obstetricsemergency medicinecommunicationsystempethidine
NSWhospitalPodcast2025-04-16

Inquest into the death of Michael Sanderson

53y · Male·Metastatic pancreatic carcinoma

Michael Sanderson, a 53-year-old Gamilaroi man, died from metastatic pancreatic cancer while in custody. Critical clinical lessons emerge: (1) failure to review pathology results within required 14-day timeframe delayed …

general practicepathologydiagnosticcommunicationinsulin degludec/insulin aspart
QLDhospital2016-11-04

Neitsch, Horst - non-inquest findings

77y · Male·Stroke; cardiogenic shock; severe aortic stenosis with three vessel coronary art…

…and imaging from referring hospital; failure of the proceduralist to review available prior angiographic/ultrasound imaging; and importantly, a 9-hour delay in medical review when Mr Neitsch developed chest pain with acu…

cardiologyvascular surgeryproceduralcommunicationfurosemide

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