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VIChospital2024-12-09

Finding into death of Robert Easter

63y · Male·Aspiration pneumonitis with contributing conditions of ischaemic gut, dysphagia …

Robert Easter, 63, a man with cerebral palsy, intellectual disability, blindness and hearing impairment, died of aspiration pneumonitis following admission to hospital with a choking episode, vomiting, lethargy and abdom…

palliative caregeneral medicine
VIChospital2024-12-05

Finding into death of Rolf Liebenow

68y · Male·Chronic lymphocytic leukaemia

Rolf Liebenow, a 68-year-old NDIS participant in Specialist Disability Accommodation, died from chronic lymphocytic leukaemia at a palliative care unit. He had suffered from this progressive terminal condition for four y…

palliative carehaematology
NSW2024-12-03

Inquest into the death of Simon Cartwright

41y · Male·Septicaemia secondary to chronic peptic ulcer disease

Simon Cartwright, a 41-year-old man with schizophrenia and bipolar disorder, died in custody from septicemia secondary to chronic peptic ulcer disease. He had a documented ulcer history diagnosed in November 2020 and sho…

psychiatrygastroenterologydiagnosticsystempantoprazole
VIChospital2024-11-22

Finding into death of RD Z

11y · Male·complications of bowel obstruction in the setting of chronic constipation

RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years with multiple admissions for bowel was…

gastroenterologypaediatric surgerydiagnosticcommunicationmacrogol
VIChospital2024-11-13

Finding into death of Angela Bella Kettyle

53y · Female·Aspiration pneumonia complicating large bowel obstruction due to faecal impactio…

Angela Kettyle, a 53-year-old NDIS participant with significant comorbidities including Type II diabetes, cirrhosis, and chronic constipation, died from aspiration pneumonia complicating large bowel obstruction due to fa…

gastroenterologygeneral medicinemorphine
VIC2024-11-08

Finding into death of Valerie Caithness

54y · Female·Aspiration pneumonia

Valerie Caithness, a 54-year-old with cerebral palsy and intellectual disability residing in specialist disability accommodation, died from aspiration pneumonia following an aspiration event during a colonoscopy performe…

gastroenterologyintensive care
VIChospital2024-10-29

Finding into death of Jennifer Ann Grieves

70y · Female·Perforated diverticulitis

A 70-year-old woman with NDIS support living in a Specialist Disability Accommodation presented to hospital with constipation, nausea, vomiting and abdominal pain. After initial ED assessment and discharge with constipat…

emergency medicinegeneral medicinepantoprazole
QLDhospital2024-10-18

Findings into the death of John Ainsworth

68y · Male·Cerebrovascular disease

John Raymond Ainsworth, a 68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol. Prior to his a…

neurologyemergency medicinedelaymetformin
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

Craig John Reynolds, 62, died from hypertensive and ischaemic heart disease with diabetes mellitus. He was residing in NDIS-funded short-term accommodation at Carroll House when he suffered a fall on 22 June 2023. He sub…

cardiologygastroenterologyoxycodone
NSWhospital2024-08-20

Inquest into the death of Ricky Dougie Hampson

36y · Male·perforated duodenal ulcer

Ricky Douglas Hampson, a 36-year-old First Nations man, presented to Dubbo Base Hospital on 14 August 2021 with sudden onset severe abdominal pain and a reported sensation of something popping in his abdomen. He had two …

emergency medicinegastroenterologydiagnosticcommunicationmorphine
VIChome2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum, ruptured spleen, colonoscopy

Alan Stewart, age 70, died from haemoperitoneum and ruptured spleen approximately 36 hours after an elective colonoscopy at Royal Melbourne Hospital. A splenic injury occurred during the procedure, likely due to mechanic…

gastroenterologyemergency medicinecommunicationsystemparacetamol
VIChome2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum secondary to ruptured spleen following colonoscopy

Alan Edward Stewart, aged 70, died from haemoperitoneum due to splenic rupture following routine colonoscopy at Royal Melbourne Hospital on 15 August 2018. The splenic injury was caused by mechanical trauma from the colo…

gastroenterologyemergency medicinecommunicationsystemparacetamol
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been admitted with wor…

psychiatryspeech pathologyrisperidone
TAShospital2024-06-27

Coroner's Finding: Patterson, Alexander Frank

65y · Male·Bleeding duodenal ulcer

A 65-year-old man with type 2 diabetes presented to hospital with haematemesis, hypoglycaemia, and postural hypotension caused by a bleeding duodenal ulcer. He was misdiagnosed with atypical pneumonia causing confusion. …

emergency medicinegastroenterologydiagnosticcommunication
VIChospice2024-06-27

Finding into death of Ms T

48y · Female·Pneumonia on a background of subacute bowel obstruction secondary to metastatic …

Ms T, a 48-year-old woman with cerebral palsy and intellectual disability living in specialist disability accommodation, died from pneumonia with subacute bowel obstruction secondary to metastatic sigmoid colorectal canc…

general practiceemergency medicine
VIChospital2024-06-13

Finding into death of Jennifer Rowallan Turnbull

79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…

Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube …

general practicerespiratory medicineoral antibiotics
QLDhospital2024-06-10

SHELTON, Lester Gilmore

84y · Male·Chronic small bowel obstruction

Lester Gilmore Shelton, aged 84, died of chronic small bowel obstruction on 4 October 2022 whilst in custody at Princess Alexandra Hospital (PAH), where he had been transferred from prison for end-of-life care. He had a …

palliative caregeriatric medicineascorbic acid
VIChospital2024-05-21

Finding into death of Murray Noel Haggar

65y · Male·Complications following a malignant bowel obstruction in a man with multiple com…

Murray Noel Haggar, a 65-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from complications of malignant bowel obstruction. He presented with chronic const…

colorectal surgerypalliative care
NSW2024-05-17

Inquest into the death of Vicki Higgins

48y · Female·Ischaemic bowel; coronary artery disease, diabetes mellitus and Crohn's disease …

Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (with prior colectomy and ileostomy), and coronary artery disease, died from ischaemic bowel on day 17 of incarceration at Junee Correctional Centre du…

general practicegastroenterologydiagnosticcommunicationinsulin
NSW2024-05-17

Inquest into the death of Vicki Higgins

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

Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (requiring ileostomy), and coronary artery disease, died from ischaemic bowel while in custody at Junee Correctional Centre on 29 January 2022, only 17…

general practicegastroenterologydiagnosticdelay

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