61 results
65y · Female·decompensated liver failure
Ms Revell, a 65-year-old with Child Pugh Class C cirrhosis secondary to 20 years of heavy alcohol use and hepatitis C, was admitted following an intoxicated fall causing an olecranon fracture. Post-operatively, she devel…
82y · Female·aspiration pneumonitis
An 82-year-old woman with cerebral palsy, epilepsy, spastic tetraplegia and blindness died of aspiration pneumonitis at North West Regional Hospital. She had been deteriorating since a February 2021 palliative care revie…
74y · Male·Aspiration of gastric contents, significantly contributed to by advanced dementi…
Mr Bogdan Dora, aged 74, died from aspiration of gastric contents while residing at Roy Fagan Centre, a residential aged care facility for people with dementia. He had advanced dementia, emphysema, and severe atheroscler…
76y · Male·ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS) due…
Wayne Douglas Tedmanson, aged 76, died from ischaemic heart disease following hyperglycaemic hyperosmolar syndrome (HHS), a complication of type 2 diabetes mellitus. Clinical lessons include recognising HHS presentations…
75y · Male·Pneumonia due to metastatic mesothelioma following exposure to asbestos at workp…
David Cecil Mann, aged 75, died of pneumonia as a complication of metastatic mesothelioma on 8 September 2020. The mesothelioma resulted from asbestos exposure during his 45-year career at the New Norfolk paper mill. His…
51y · Male·progressive high-grade right frontal glioma (glioblastoma multiforme)
Damian Callinan, aged 51, died from progressive high-grade glioblastoma multiforme on 3 February 2021 after 12 days of admission to Royal Hobart Hospital. He had undergone maximal therapy (surgery, radiation, chemotherap…
63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…
Sandra Shields, aged 63, died of sepsis and pneumonia secondary to a sacral pressure ulcer in the context of treatment-resistant catatonic schizophrenia. She was admitted to Launceston General Hospital in February 2019 w…
73y · Female·pulmonary embolus
Mary Collis, a 73-year-old woman with bipolar disorder and type 2 diabetes, died from pulmonary embolus whilst an inpatient at Launceston General Hospital on 15 June 2020. She was admitted after becoming unconscious at h…
82y · Female·sepsis with septic shock due to ascending cholangitis
Nancy Campbell, an 82-year-old woman with delusional disorder subject to mental health treatment orders, died from sepsis with septic shock due to ascending cholangitis. She had gallstones identified on MRCP during psych…
36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…
A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He was discharged from hospital on 14 January 2019 after admission for respira…
Male·aspiration pneumonia
Mervyn Roy Menzies, a 60+ year old man with intellectual and physical disabilities, died of aspiration pneumonia at Royal Hobart Hospital on 12 July 2020. He presented on 6 July with fever and difficulty swallowing; CT i…
64y · Female·stage IVB metastatic adenocarcinoma of the rectum
Sungwaan Hanson, a 64-year-old woman with a 35-year history of treatment-resistant schizophrenia, died from stage IVB metastatic adenocarcinoma of the rectum at the Roy Fagan Centre on 27 May 2020. She had been subject t…
70y · Male·uraemic encephalopathy
David John Porthouse, a 70-year-old man with chronic kidney disease, diabetes, and cardiac disease, fell at home in February 2020 causing a neck of femur fracture. He was treated surgically and remained hospitalised. Dur…
51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…
A 51-year-old woman with intellectual disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vag…
54y · Male·Decompensated liver failure complicating advanced cirrhosis on a background of c…
Shane Reginald Lockley, aged 54, died from decompensated liver failure due to advanced cirrhosis and chronic alcohol dependence. He had a long history of alcohol abuse, intellectual impairment, and was under guardianship…
72y · Male·haemoperitoneum complicating spontaneous perforation of peritoneal varix in the …
Petr Mikl, a 72-year-old man held in secure mental health custody, died from haemoperitoneum due to spontaneous perforation of a peritoneal varix secondary to portal hypertension caused by portal vein thrombosis and hepa…
60y · Male·multi-organ failure due to injuries sustained in motor vehicle accident, specifi…
A 60-year-old Aboriginal man with significant comorbidities (cardiomyopathy, cirrhosis, renal failure, diabetes) presented to ED following a motor vehicle accident at low speed. Despite chest imaging showing pleural effu…
76y · Female·pulmonary embolism due to carcinomatosis
A 76-year-old woman presented to hospital with shortness of breath and was initially diagnosed with community-acquired pneumonia and later pulmonary oedema. Both diagnoses were incorrect. She had widespread cancer (carci…
79y · Female·subdural haematoma following mechanical fall with head strike
A 79-year-old woman with multiple comorbidities including diabetes, peripheral neuropathy, and previous partial foot amputation fell backwards in a hospital toilet on 23 November 2018, striking her head on a sink and flo…
71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges
A 71-year-old man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical dete…
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