61 results for “pulmonary effusion”
10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …
… 6 weeks of untreated disease, Tamar deteriorated significantly with weight loss, paraplegia, and pleural effusion before hospitalisation in late October. While chemotherapy was commenced in El Salvador, her condition wa…
64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …
…Africh, a 64-year-old sentenced prisoner, died from bronchopneumonia and sepsis with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart failure. Key c…
39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor
Marc Vella, a 39-year-old man with schizophrenia and intravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible …
75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…
Edgar Hugh Sandow, a 75-year-old First Nations man, died from end-stage renal disease while incarcerated at Princess Alexandra Hospital Secure Unit. He had multiple comorbidities including heart failure, diabetes, hypert…
34y · Male·Septicaemia resulting from Melioidosis
Warren Maminyamanja, a 34-year-old Aboriginal man, died from melioidosis septicaemia on 13 June 2004 whilst in custody at Darwin Correctional Centre. Clinical assessment for melioidosis was not considered, though expert …
33y · Female·Hypoxic ischaemic encephalopathy with an antecedent cause of in-hospital cardiop…
Melissa King, aged 33, died from hypoxic ischaemic encephalopathy following in-hospital cardiopulmonary arrest at Blacktown Hospital. She presented with severe malnutrition, electrolyte derangements including…
48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…
A 48-year-old tetraplegic woman died from sepsis originating from a necrotic sacral pressure wound. Multiple system failures contributed: inadequate pressure sore prevention at the disability care provider (air mattress …
61y · Male·Lymphoma (CD30 positive T-cell lymphoproliferative disorder), medically managed
A 61-year-old man died from CD30-positive T-cell lymphoproliferative disorder (PTCL) after being incorrectly diagnosed and treated for Hodgkin lymphoma. Critical diagnostic information—a negative PAX5 immunohistochemistr…
79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…
…essment focused narrowly on chest pain, missing the opportunity to review the chest X-ray showing pleural effusions and to communicate the significantly reduced ejection fraction to the managing team. Dr F., the respirat…
71y · Male·Complications of metastatic squamous cell carcinoma (terminal palliation)
Leslie Shortte, a 71-year-old life prisoner, died from metastatic squamous cell carcinoma with complications. Critical failures in his prison medical care included: failure to complete annual health assessments after 201…
63y · Male·Metastatic carcinoma of the lung
Lawrence Jeffrey, a 63-year-old inmate at Lotus Glen Correctional Centre, died from metastatic lung carcinoma on 11 May 2008. He presented with symptoms consistent with his known chronic conditions (asthma, COPD, silicos…
81y · Male·multi-organ failure complicating multiple right-sided rib fractures due to a fal…
…le clinical deterioration markers emerged over five days (poor pain control, decreased air entry, pleural effusions, atelectasis), but transfer was delayed until day five when the patient was in shock. An independent int…
64y · Male·Peritonitis, due to or as a consequence of a ruptured gallbladder, due to or as …
Dennis Childs, a 64-year-old Indigenous man serving a life sentence, died from peritonitis secondary to a ruptured gallbladder. On 8 December 2018, he presented with abdominal pain at the correctional centre but refused …
1y · Female·Dilated cardiomyopathy
An 18-month-old girl died from dilated cardiomyopathy masquerading as croup. While initially misdiagnosed as croup was reasonable, the failure to reassess when clinical improvement did not occur was critical. Key failure…
Male·Multiple injuries including subarachnoid haemorrhage and left pleural effusion s…
Timothy Smith-Brown died from multiple injuries sustained in a motor vehicle collision after a police pursuit on 4 September 2015 in Canberra, ACT. The pursuit lasted approximately 3 minutes and involved speeds exceeding…
58y · Male·Metastatic non-small cell lung carcinoma
Barry Haynes, a 58-year-old Aboriginal man, died of metastatic non-small cell lung carcinoma while on remand in custody. He had stage 4 lung cancer with brain metastases diagnosed in November 2016, shortly before his arr…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: in…
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