75y · Male·ruptured abdominal aortic aneurysm
…sented to a regional emergency department with right lower quadrant abdominal pain, back pain, groin pain, nausea, and vomiting. He was diagnosed with musculoskeletal pain and discharged. He collapsed shortly after leavi…
72y · Male·Subarachnoid haemorrhage in a man with coronary arteriosclerosis
… heart disease, presented to Royal Perth Hospital Emergency Department on 22 October 2000 with chest pain, nausea, vomiting, and headache after arriving in Perth. He was initially diagnosed with unstable angina and manag…
57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…
…econdary to infective endocarditis caused by Streptococcus mitis. He presented with non-specific symptoms (nausea, weight loss, abdominal pain) initially attributed to gastrointestinal pathology or malignancy. Appropriat…
60y · Male·ischaemic heart disease due to severe single vessel atherosclerosis
…y, he developed chest pain and left arm pain. He consulted his GP on 30 October 2017 reporting chest pain, nausea, and shoulder pain. The GP attributed the chest pain to his pre-existing gastric ulcer and reflux, and the…
59y · Male·metastatic lung cancer, with palliation
Van Tho Nguyen, a 59-year-old remand prisoner with metastatic lung cancer, died of natural causes in a private hospital palliative care setting. He had been a lifelong smoker who developed advanced adenocarcinoma with bo…
39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …
…ep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nausea, was diagnosed with appendicitis, and surgery was delayed >24 hours due to limited operating theatre avail…
76y · Male·Chest sepsis in a man with ischaemic heart disease
…being delivered in his medication bag. The patient and family were unaware of the error. He presented with nausea, vomiting, and decreased oral intake several days later and deteriorated rapidly with pneumonia, acute kid…
41y · Female·frontal lobe ischaemic infarcts (strokes) caused by cerebral artery vasospasm co…
… to multiple healthcare providers over five days with headache, neck stiffness, photosensitivity, vertigo, nausea, vomiting, and a syncopal episode. Critical failures occurred at the Royal Hobart Hospital ED on 18 July w…
57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…
A 57-year-old woman with complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opio…
33y · Male·acute hydrocephalus following ventricular blockage by a colloid cyst
Daniel Johnson, a 33-year-old Aboriginal man, died of acute hydrocephalus caused by a colloid cyst in the brain while in custody at Darwin Correctional Centre. He had complained of severe, recurring headaches for months …
56y · Female·Bronchopneumonia in the setting of supratherapeutic lithium levels
…d retention. Despite GP reviews showing clinical signs concerning for lithium toxicity (lethargy, tremors, nausea, poor appetite), her lithium level was not rechecked between December 2017 and early March 2018. When rena…
18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…
…al myocarditis causing cardiogenic shock. She presented over weeks with progressive non-specific symptoms (nausea, vomiting, fatigue, cough) consistent with viral illness. A locum GP diagnosed Epstein-Barr hepatitis on 3…
58y · Female·Ischaemic small bowel due to bowel obstruction most likely due to a combination …
…and Crohn's disease recurrence. On 22 November, she presented to GP with two weeks of diarrhoea, vomiting, nausea, and abdominal pain. The GP noted possible obstruction, ordered imaging and bloods, and referred non-urgen…
49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…
Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics per…
58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…
…, died in the Princess Alexandra Hospital Secure Unit. He was admitted to the ED on 17 September 2016 with nausea, vomiting and abdominal pain. An abdominal x-ray suggested partial bowel obstruction but this was not iden…
33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…
Dr D., a 33-year-old physicist, was admitted to Hornsby Hospital on 27 December 2012 with abdominal pain, nausea, vomiting and joint pain. His presentation included hypotension (97/61), tachycardia (116/min), hyponatrae…
52y · Female·intracerebral haemorrhage in a lady with underlying cerebrovascular disease and …
…ade stenosis. Post-operatively she developed escalating blood pressure readings (160–220 mmHg), headaches, nausea, agitation, and abnormal behaviour over 6–7 April. Despite a critical BP spike of 220/110 and multiple con…
86y · Male·Aspiration Pneumonia secondary to Recurrent Colorectal Carcinoma
An 86-year-old man died from aspiration pneumonia following bowel preparation for elective colonoscopy. He was admitted to an outlying ward rather than the gastroenterology unit, where nursing staff documented multiple e…
37y · Male·Haemopericardium secondary to aortic dissection
…ello, 37, presented to Gunnedah Hospital ED with acute onset severe chest pain, back pain, diaphoresis and nausea. Dr G., the sole ED physician, conducted initial assessment including ECG and troponin testing, both norma…
69y · Male·subarachnoid haemorrhage with contributing cardiomegaly
A 69-year-old man with hypertension presented with sudden onset severe headache, photophobia, nausea and neck stiffness—classic features of subarachnoid haemorrhage. A CT angiogram identified a 6mm aneurysm …
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