Coronial
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SAaged care2020-12-18

Coroner's Finding: DUTSCHKE Brenton Leslie

72y · Male·ischaemic heart disease on a background of end-stage renal failure and frontotem…

Brenton Dutschke, aged 72, died of ischaemic heart disease on a background of end-stage renal failure and frontotemporal dementia while on a Level 3 Inpatient Treatment Order at Oakden Mental Health's Makk House. He had …

psychiatrynephrology
SAhospital2020-12-18

Coroner's Finding: WALSH Patrick Lawrence

86y · Male·combined effects of acute myeloid leukaemia, acute renal failure and staphylococ…

Patrick Lawrence Walsh, aged 86, died in custody at Royal Adelaide Hospital from combined acute myeloid leukaemia, acute renal failure, and staphylococcal pneumonia. He had a significant medical history including ischaem…

haematologyinfectious diseasesdiagnosticdelay
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

A 68-year-old Aboriginal man died by hanging in his cell at Yatala Labour Prison on 16 April 2015 while experiencing acute myocardial infarction. He was transferred to Yatala for urgent psychiatric assessment following t…

psychiatrycardiologydiagnosticcommunicationolanzapine
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

Brian Davies, 79, died of myocardial infarction while under an Inpatient Treatment Order for Alzheimer's dementia at Noarlunga Hospital. He presented with cognitive decline following his partner's death and developed agi…

geriatric medicinepsychiatrymedicationoxazepam
SAhospital2020-11-02

Coroner's Finding: MAGGS Eric Arthur

85y · Male·ischaemic heart disease

Eric Arthur Maggs, aged 85, died of ischaemic heart disease at Royal Adelaide Hospital. He was profoundly deaf from birth and had dementia. Admitted with acute chest pain and difficulty breathing, he became distressed an…

emergency medicinecardiologycefalexin
SAhospital2020-11-02

Coroner's Finding: MILOCCHI Guiseppe

90y · Male·pneumonia leading to atrial fibrillation leading to myocardial infarction

A 90-year-old man with lung cancer, dementia, and frontal lobe disease died from pneumonia leading to atrial fibrillation and myocardial infarction while on an inpatient mental health treatment order. He was admitted wit…

emergency medicinepsychiatryantibiotics
SAhospital2020-10-30

Coroner's Finding: VELT Hank Jakob

65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…

A 65-year-old man with hypertension presented with acute cholecystitis, underwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two E…

general surgerycardiologydiagnosticcommunication
SAhospital2020-07-16

Coroner's Finding: HARVEY Lawrence George

85y · Male·end stage dementia

Lawrence George Harvey, aged 85, died from end-stage dementia while lawfully detained under the Mental Health Act at Noarlunga Hospital. He had experienced progressive dementia since 2013 with increasing aggression, requ…

geriatric medicinepsychiatryrisperidone
SAhome2020-07-16

Coroner's Finding: KEIPERT Mathew James

44y · Male·Ischaemic heart disease due to coronary atherosclerosis

Mathew James Keipert, age 44, died of ischaemic heart disease due to coronary atherosclerosis while on home detention bail. He had significant cardiovascular risk factors including hypertension, heavy smoking (40 cigaret…

cardiologygeneral practicediagnosticdelaybuprenorphine
SAhospital2020-07-14

Coroner's Finding: DUSZYNSKI Steve Stan Peter

66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…

A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia dur…

nephrologyhaematologydelayolanzapine
SAhospital2020-07-09

Coroner's Finding: FOSTER Patricia Marie

76y · Female·infective exacerbation of chronic congestive cardiac failure due to Respiratory …

Patricia Marie Foster, 76, died at Queen Elizabeth Hospital from infective exacerbation of chronic congestive cardiac failure due to Respiratory Syncytial Virus. She presented with multifactorial respiratory distress com…

emergency medicinepsychiatry
SAhospital2020-07-02

Coroner's Finding: WHATLEY Deborah Rose

55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia

A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessment treated presumed UTI and discharged her. She returned the next day with wor…

emergency medicinepsychiatryclozapine
SAhospital2020-06-18

Coroner's Finding: THOMPSON Wayne Robert McInnes

33y · Male·Multi-organ failure due to sepsis on a background of severe ischaemic cardiomyop…

Wayne Robert McInnes Thompson, aged 33, died from multi-organ failure due to sepsis complicated by severe ischaemic cardiomyopathy. He had a complex medical history including viral myocarditis, previous intestinal resect…

cardiologyintensive carewarfarin
SAhospital2020-06-18

Coroner's Finding: TUCKER Colin Pryor

96y · Male·general inanition on a background of advanced dementia, chronic congestive cardi…

Colin Pryor Tucker, aged 96, died of general inanition on a background of advanced dementia, chronic congestive cardiac failure and pneumonia at Repatriation General Hospital. He was admitted with urinary retention, acut…

psychiatrygeriatric medicineantipsychotic medication
SAmental health2020-06-17

Coroner's Finding: COULTER Brenton Thomas

60y · Male·Ischaemic heart disease

A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart disease while an inpatient in a mental health facility under an Inpatient Treatment…

psychiatrycardiologyclozapine
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October…

gastroenterologypsychiatry
SAhospital2020-05-28

Coroner's Finding: OLIVER Ian Arthur

81y · Male·haemorrhage from metastatic squamous cell tumour of the right axilla

An 81-year-old man with extensive comorbidities (cardiac failure, COPD, diabetes, renal failure) presented with a right axillary squamous cell carcinoma with metastases. He was admitted for palliative care and pain manag…

oncologypalliative care
SA2020-05-08

Coroner's Finding: CANHAM Craig Nicholas

63y · Male·cardiac arrhythmia complicating recent posterior myocardial infarct with underly…

Craig Nicholas Canham, aged 63, died in custody at Yatala Labour Prison from cardiac arrhythmia complicating a recent posterior myocardial infarction with underlying hypertrophic cardiomyopathy. He had suffered a myocard…

cardiologygeneral practicetenecteplase
SAhospital2020-01-10

Coroner's Finding: FIORETTI Louisa Jill Josephine

19y · Female·2,4-dinitrophenol toxicity

A 19-year-old woman died from 2,4-dinitrophenol (DNP) toxicity after intentionally ingesting approximately 50 x 250mg capsules purchased online. She presented to Flinders Medical Centre with an Inpatient Treatment Order …

toxicologyemergency medicine2,4-dinitrophenol
SAhospital2020-01-10

Coroner's Finding: PLAYFORD Aldona Mariana

84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…

Aldona Mariana Playford, an 84-year-old woman with extensive medical comorbidities including ischaemic heart disease, chronic renal failure, and severe biventricular dysfunction, died of sepsis and cardiac failure. She w…

cardiologypsychiatryfurosemide

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