60 results for “cardiac ultrasound”
72y · Female·haemorrhage from penetrating duodenal ulcer
…blood test and clinical evidence of bleeding, no endoscopy was performed. The team attributed symptoms to cardiac pathology based on elevated cardiac enzymes, which expert evidence suggested were misleading due to prolo…
87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…
An 87-year-old man with atrial fibrillation on warfarin underwent elective bronchoscopy for suspected lung lesion. The admitting respiratory team incorrectly documented a mechanical aortic valve replacement when he actua…
79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…
…right underwent multiple amputations and vascular interventions but experienced declining renal function, cardiac failure, and episodes of aspiration. While early prison health records contained gaps in wound dressing d…
4y · Female·Drowning
A 4-year-old girl from an Afghan refugee family drowned in Lysterfield Lake after entering the water during a brief lapse of supervision. She was unable to swim and had not received water safety education. Despite immedi…
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
…-alcoholic fatty liver disease, and obesity. She presented acutely with a leg wound and was found to have cardiac tamponade from pericardial effusion. Despite appropriate acute hospital care at Maroondah and Box Hill, t…
12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …
…ood culture results (1:22am) and medical notification (10:49am); failure to consider endocarditis despite cardiac history in her father; and reliance on facsimile as sole communication method. The child developed an aor…
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
…er pneumonia), despite imaging showing bilateral effusions. No CT chest was ordered despite her high-risk cardiac history and the X-ray findings. She died from ruptured thoracic aortic dissection with haemothorax. Key f…
71y · Male·Saddle pulmonary embolus as a consequence of deep venous thrombosis in the right…
…s. On 28 July 2000, he was transferred to Royal Adelaide Hospital where right calf DVT was identified on ultrasound but no anticoagulation was administered. He collapsed in cardiac arrest the following morning. The coron…
70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition
…ew masses in patients with cancer history; careful monitoring for immunotherapy-related complications and cardiac toxicity; and maintaining effective communication between correctional health services and specialist uni…
68y · Male·Complications following myocardial infarction and its treatment in a man with mu…
Salvatore Otranto, a 68-year-old prisoner with multiple severe comorbidities including ischaemic heart disease, diabetes, COPD, and chronic kidney disease, died from complications of myocardial infarction and its treatme…
17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis
…with respiratory distress some 12 minutes later, adrenaline was administered but he rapidly progressed to cardiac arrest. The coroner identified two key missed opportunities: (1) recognizing the wheeze as recurrent anap…
0y · Male·multifactorial with severe hypoxia/hypotension which occurred in the background …
…d placenta praevia and umbilical cord transection. The placenta was incorrectly reported as posterior on ultrasound, though this didn't change surgical management. Critical gaps included: absence of continuous fetal moni…
1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…
Isabella Rees, aged 14 months, presented to Sunshine Hospital ED four times over 19 days with fever, vomiting and later haematochezia. A button battery lodged in her oesophagus caused progressive caustic injury leading t…
0y · Female·Hypoxia resulting from primary idiopathic pulmonary hypertension of the newborn …
Jasmine Chiang died at 7 hours of age from primary idiopathic pulmonary hypertension of the newborn (PPHN), probably complicated by pulmonary haemorrhage. She presented with classic PPHN signs (harlequin appearance, diff…
84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…
An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…
35y · Female·Pulmonary thromboembolus and pulmonary infarction
…er as musculoskeletal pain and discharged her without ECG or imaging. She returned 17 hours later in near-cardiac collapse with massive bilateral pulmonary emboli and died despite thrombectomy. The coroner found Dr M.'s…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…
16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…
A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…
35y · Female·Unascertained
A 35-year-old grand multipara with multiple risk factors (BMI >35, smoking, grand multiparity, pregnancy-induced hypertension) presented at 40+4 weeks with absent foetal movements and was induced on Sunday evening. She e…
0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…
…iving an R3 (not R1) response code contributed to deterioration during transfer. Kyran sustained multiple cardiac arrests before arriving at Sydney Children's Hospital with hypoxic ischaemic encephalopathy and ultimatel…
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