Coronial

155 results for weight loss

NSWhospital2022-10-14

Inquest into the death of Malouvailoa Tafau

20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…

…bmitted two patient self-referral forms (September 2016 and February 2017) reporting chest pain, fever and weight loss—cardinal signs of endocarditis—but Justice Health clinicians failed to assess him despite policy requ…

cardiologyinfectious diseasesdiagnosticcommunicationflucloxacillin
WAcommunity2025-05-28

Inquest into the Suspected Death of Ian Steven TOLLI

54y · Male·unknown, possibly drowning, with possible contribution from marine predation or …

… intoxicated, or in poor health. His significant medical history including cancer treatment, chronic pain, weight loss, and recent dental trauma may have contributed to overall vulnerability.

alcohol
QLD2018-07-09

Maisel, Bradford Zaiser – Non-inquest findings

50y · Male·Fatal injuries sustained as a consequence of a helicopter colliding with the oce…

…g and time management, unapproved esky modification attached to the left skid causing aerodynamic drag and weight/balance issues (estimated 35kg over maximum gross weight), non-carriage of life jackets, operational decis…

proceduralsystem
NT2020-08-18

Inquest into the death of David Loader

58y · Male·carcinomatosis from unknown primary

…9, initially attributed to musculoskeletal causes including a prisoner-administered 'chiropractic' injury. Weight loss of 9.4 kg was documented in November. CT scan on 29 November 2019 revealed widespread metastatic dise…

general practiceoncologysodium valporate
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

…(attempted nasogastric tube insertion on 25 June was resisted) may have altered outcomes. Documentation of weight loss and falls history was inadequate. Transition to palliative care occurred only on 23 July, four days b…

general medicineemergency medicinesystemcommunicationrisperidone
SAhospital2000-07-21

Coroner's Finding: DRESCHLER Michelle Lee

27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…

…French standard recommended by most Australian surgeons. This caused severe, persistent vomiting and rapid weight loss over six months. When she presented with syncope and low potassium (2.5), poor communication between …

general surgerygeneral practiceproceduralcommunicationdiazepam
QLDaged care2017-09-20

Mr RO'H - Non-inquest findings

69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis

…documentation and management, failure to recognise malnutrition's role in pressure ulcer formation (5.7 kg weight loss in one week), failure to escalate deteriorating clinical signs on 16 February (fever 38.7°C, hypotens…

geriatric medicinegeneral practicediagnosticsystemdicloxacillin
SAaged care2018-09-28

Coroner's Finding: ROLLBUSCH Graham

70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…

…pite documented prior assaults between them, and failure to transfer him despite clear indicators (extreme weight loss, palliation, frailty). Staff numbers were adequate but knowledge, skills and supervision were poor. T…

geriatric medicinepsychiatrydiagnosticcommunicationolanzapine
TAS2024-10-03

Coroner's Finding: Martin, Thomas David Findings

33y · Male·ketoacidosis, likely alcoholic ketoacidosis

… before death, he exhibited concerning behaviours including drug manufacturing, disordered communications, weight loss, and apparent neurological symptoms. Mental health services conducted welfare checks and provided dep…

psychiatrygeneral practicealcohol
NSWhospital2015-12-02

Inquest into the death of Jessica Martin

24y · Female·peri-myocarditis in the presence of sub clinical Addison's disease

…without specific investigations for Addison's disease. While her low-normal blood pressure and significant weight loss were features of Addison's, the expert found these were appropriately managed given the acute present…

emergency medicineradiation oncologydiagnosticneurofen
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

…on and Salmonella infection. Over 18 months prior to death, he experienced progressive functional decline, weight loss, chronic abdominal pain, and constipation that were inadequately investigated. Key clinical lessons i…

general medicinegastroenterologydiagnosticcommunicationmovical
QLDcommunity2009-10-04

Harvey, John Arthur

28y · Male·Multiple injuries due to or as a consequence of a motor vehicle accident in whic…

…close load limits clearly, misleading marketing describing the truck as a '3 tonne truck,' absence of tare weight information on the vehicle, and misunderstandings about permissible loads. The coroner found the excessive…

systemcommunication
WAhome2011-04-21

Inquest into the Death of Whitehouse

3y · Male·unascertainable; malnourishment was a significant contributing factor

…d emaciated at death, having deteriorated dramatically over the final month of life. He was born at normal weight but failed to thrive; medical evidence showed he had crossed centile charts and was below the 3rd percenti…

paediatricsgeneral practicecommunicationdelaymethamphetamine
VIChospital2025-02-26

Finding into death of CFT

78y · Female·Bronchopneumonia

…GP, OPA) documented concerns about neglect from 2017 onwards including poor continence care, malnutrition, weight loss, inadequate hygiene, and failure to attend medical appointments. Despite a VCAT guardianship order in…

geriatric medicinegeneral practicediagnosticsystem
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

…failure, and acute exacerbation of schizophrenia. Significant malnutrition (cachexia, 29kg at autopsy) and weight loss complicated her course. The coroner found psychiatric detention was lawfully necessary due to her exp…

psychiatrygeneral medicinerisperidone
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

…pliance off medications. Clinical deterioration was profound: 3-week religious fasting causing significant weight loss, unattended for 5+ years by GP, bladder distension (3750 ml urine), urinary obstruction from enlarged…

psychiatrygeriatric medicineantipsychotic medications
NThospital2022-01-25

Inquest into the death of Josef Lear

80y · Male·metastatic oesophageal cancer

… at the Royal Darwin Hospital Hospice on 7 March 2021. He presented with progressive dysphagia, cough, and weight loss in mid-2020, which was appropriately investigated with gastroscopy, biopsy, and imaging confirming st…

oncologygastroenterologycommunicationsystemibuprofen
TAShome2022-02-18

Coroner's Finding: XY - deidentified

84y · Male·Overdose of prescription morphine (Ordine oral morphine liquid), self-administer…

… home. In the weeks before death, he experienced progressive dyspnoea limiting him to walking 5-10 metres, weight loss, and difficulty with self-care. A GP home visit on 23 May offered hospital admission and palliative c…

general practicerespiratory medicinemorphine
VIChospital2013-05-07

Finding into death of Gurpal Sandhu

64y · Female·Lymphocytic choriomeningitis virus (LCMV)-like arenavirus infection, post liver …

…ired through cadaveric liver transplantation. The donor had recently returned from Serbia with unexplained weight loss, lethargy, and headaches. Two other recipients of the same donor's organs also died from the same nov…

transplant medicinehepatologycommunicationsystem
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

28y · Female·aspiration of gastric contents complicating laxative abuse

…ccepted her explanation (pain medication). The diagnosis of eating disorder was not pursued despite severe weight loss, dehydration, and clinical suspicion. She discharged against medical advice and died days later. Key …

general practicegeneral medicinediagnosticcommunicationbisacodyl

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