Coronial

132 results for blood tests

SAhospital2011-04-07

Coroner's Finding: WATKINS Maureen

56y · Female·pulmonary thromboembolism due to left calf deep vein thrombosis

…surgery. On 13 July, an intern noted oxygen saturation of 95% on supplemental oxygen and obtained arterial blood gas tests showing hypoxia, raising concern for pulmonary embolism. However, the registrar was not informed…

general medicinepsychiatrydiagnosticcommunicationdiazepam
WAhospital2014-08-29

Inquest into the Death of Daniel LAHENGKING

66y · Male·multiple organ failure associated with the combined effects of complications of …

… vasculitis and coronary artery disease led to his death. Clinical lessons include: always obtain baseline blood tests before methotrexate; consider medication toxicity in differential diagnosis; pharmacists must effect…

general practicepharmacydiagnosticmedicationmethotrexate
NSWhospital2019-12-13

Inquest into the death of Luca RASO

13y · Male·Peritonitis secondary to ruptured gangrenous acute appendicitis

…unds with vomiting history is uncommon, appendicitis can present atypically with retrocaecal location, and blood tests plus imaging would have revealed bacterial rather than viral illness. The case highlights the import…

general practiceemergency medicinediagnosticcommunication
NSWhospital2011-03-04

Williammackenzie 2011 03 04 12 58 08 816

60y · Male·Multiple injuries sustained after jumping from 15th storey home unit

William MacKenzie, a 60-year-old with a five-year history of bipolar affective disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital on 9 June 2008 with suicidal ideation after being found …

psychiatryemergency medicinediagnosticproceduralolanzapine
SAhospital2024-05-22

Coroner's Finding: Kolega, Sime

54y · Male·multi-organ failure and sepsis complicating fulminant pneumonia with empyema (op…

…concerning signs including bilateral oedema, fever, and respiratory symptoms. The GP appropriately ordered blood tests but the appointment timing (4:36pm) meant the pathology collection centre had closed; the nearest al…

general practiceemergency medicinedelaysystemflixotide
VIChome2022-09-13

Finding into death of John Llewellyn Williams

73y · Male·congestive cardiac failure in a man with cardiomegaly

…re with cardiomegaly. He was subject to a Community Treatment Order but had disengaged from care, refusing blood tests and treatment, and missing appointments. Police and a psychiatric nurse found him deceased at home o…

psychiatrycardiologyhydroxyrisperidone
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

…layed, though unlikely to have altered outcome. Systemic failures included failure to order liver function tests when hepatitis diagnosed, lack of structured assessment protocols for antiviral treatment eligibility, and…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

…liver changes, and acute renal failure. At emergency admission with perforated gallbladder, liver function tests were not interpreted optimally by surgical teams, though earlier surgery was unlikely to alter outcome giv…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
VIChospital2012-03-02

Finding into death of Elsa Harrington

45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…

…ry. Following surgery, she received therapeutic doses of paracetamol and developed abnormal liver function tests on 8 November. However, clinicians failed to recognise these as paracetamol-related, instead attributing t…

general surgerycardiologydiagnosticcommunicationparacetamol
NThospital2005-08-26

Inquest into the death of Sampson Paii

35y · Male·Disseminated Lymphoblastic Lymphoma

…r J.' actions not unreasonable given the rarity and aggressiveness of the lymphoma, but noted that broader blood testing and imaging on 1 May, standard in general practice, may have aided diagnosis. Earlier diagnosis wo…

haematologycardiologycommunicationdiagnostic
VIChospital2022

Finding into death of Mr E

67y · Male·Fulminant liver failure

A 67-year-old man presented to his GP with discoloured urine. Blood tests revealed acute liver toxicity but critical results were communicated via facsimile, with unclear tim…

general practiceemergency medicinecommunicationdelayibuprofen
QLDhospital2016-05-06

Sweet, Lilli

6y · Female·Brain stem herniation due to pneumococcal meningitis

… referral letters highlighting key risk factors must be acted upon and communicated across care teams; (4) blood tests should have been ordered in ED despite clinical presentation suggesting viral illness; (5) critical …

paediatricsemergency medicinediagnosticcommunicationparacetamol
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

…packets daily), obesity (BMI 31.4), sedentary lifestyle, and refused preventive health screening including blood pressure monitoring, cholesterol and lipid testing, and ECGs. His mental health team appropriately maintai…

psychiatrygeneral practiceflupenthixol
VICmental health2011-05-17

Finding into death of Ralph Graeme Keat

64y · Male·Unascertained natural causes, possibly cardiac arrhythmia, metabolic disturbance…

…tation included bizarre behaviour, withdrawal, possible hallucinations, and insomnia. Admission vitals and blood tests were normal. On 14 April 2010, after hourly nursing observations, Mr Keat was found unresponsive in …

psychiatryforensic medicinetemazepam
TAS2026-06-19

Coroner's Finding: de Plater, Jason

54y · Male·Hypothermia (environmental cold exposure)

…ther but became disoriented in poor conditions. His body was found on 28 December with no signs of trauma. Blood tests showed recent cannabis use, which may have impaired judgment. His emergency communication device was…

cannabis
SAhospital2016-04-11

Coroner's Finding: OSANG Roswitha Maria

66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease

…excluded in older patients presenting with ankle oedema and relevant risk factors; abnormal liver function tests warrant diagnostic reconsideration; beta-blockers should only be introduced after diuresis and stabilizati…

general practicecardiologydiagnosticmedicationsotalol
VIChome2026-07-06

Finding into death of Mark Wesley Tyson

61y · Male·Complications of cerebral palsy

…ion) and 29 July (malnourishment, discharged with advice to see GP), then presented again on 31 July after blood tests revealed hypernatremia and malnourishment. He was admitted and commenced on an end-of-life care path…

emergency medicinegeneral medicine
VIChome2012-08-16

Finding into death of Janice King

45y · Female·Epilepsy

…diac arrest (20-25 minutes) requiring intensive resuscitation, ICU intubation, and induced coma. Admission blood tests revealed subtherapeutic anticonvulsant levels. Despite medication optimization and intensive ICU sup…

emergency medicineintensive caresodium valproate
VICcommunity2013-12-20

Finding into death of Kylie Anne Lightfoot

24y · Female·diabetic ketoacidosis in the setting of diabetes mellitus

… ketoacidosis. She presented to Dr S.'s practice on 4 May 2007 with abdominal pain, having not checked her blood sugar or taken insulin that day. Dr S.'s glucometer was broken, so she instructed Kylie to return home and…

general practiceendocrinologycommunicationsysteminsulin
SAhospital2019-04-15

Coroner's Finding: ADAMS Debra Louise

52y · Female·hepatic encephalopathy due to Child C cirrhosis of the liver on a background of …

…ncephalopathy and cirrhosis. She presented to Port Pirie Medical Centre with bleeding, pain and confusion. Blood tests revealed severe anaemia and liver disease; imaging showed chronic pancreatitis. She was transferred …

general practicehepatology

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