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SAhospital2013-07-22

Coroner's Finding: SMITH Trevor John

62y · Male·extensive small cell lung cancer

Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…

oncologycardiothoracic surgerysystemdelaydexamethasone
SAhospital2013-06-23

Coroner's Finding: BAKER Neville Ronald

56y · Male·respiratory failure due to adenocarcinoma of the lung and chronic obstructive lu…

Neville Ronald Baker, aged 56, died from respiratory failure due to adenocarcinoma of the lung and chronic obstructive lung disease. He was a life prisoner serving a sentence for murder. He had been a heavy smoker throug…

respiratory medicineoncologysalbutamol
SAhospice2013-03-27

Coroner's Finding: AUSTIN Dallas Dixon

46y · Male·metastatic malignant melanoma

A 46-year-old man with metastatic malignant melanoma died in custody at a hospice. He was extradited from New South Wales to South Australia in April 2009 while undergoing cancer treatment. There was an 8-week delay befo…

oncologypalliative caresystemcommunicationinterferon
SAhospital2013-03-08

Coroner's Finding: PAULEY Cynthia Joy

72y · Female·Intrathecal toxicity of bupivacaine and morphine

A 72-year-old woman with terminal metastatic parotid cancer died from intrathecal toxicity of bupivacaine and morphine. She was admitted to Ashford Hospital for pain management of pathological pelvic fractures. An intrat…

palliative careoncologymedicationproceduralmorphine
SAhome2013-02-13

Coroner's Finding: MILLER Franklin Delano

58y · Male·metastatic adenocarcinomatosis with unknown primary source

A 58-year-old prisoner died of metastatic adenocarcinoma with unknown primary. In September 2006, significantly abnormal liver enzymes (GGT 2093) and hyperglycemia were detected. A December 2006 ultrasound identified an …

general practiceoncologydiagnosticcommunication
SA2013-02-13

Coroner's Finding: NYLANDER Harry Richard

58y · Male·metastatic multiple myeloma

Harry Richard Nylander, aged 58, died in prison custody from metastatic multiple myeloma on 25 January 2008. An inquest was mandatory due to his custodial status. Expert medical review by a senior medical oncologist conc…

oncologyhaematologydelay
SAhospital2013-02-13

Coroner's Finding: CARDASSIS Andrew Paul

42y · Male·disseminated metastatic renal cell carcinoma

A 42-year-old prisoner died from disseminated metastatic renal cell carcinoma. Renal cancer was identified by ultrasound in September 2006 and confirmed by CT scan. Surgery was performed with curative intent in December …

oncologyurologysunitinib
SAhospital2012-11-14

Coroner's Finding: Johnson Peter Andrew

61y · Male·paraneoplastic syndrome caused by metastatic adenocarcinoma of the lung

Peter Andrew Johnson, aged 61, died from paraneoplastic syndrome caused by metastatic adenocarcinoma of the lung. He had been diagnosed with lung cancer in March 2007, undergoing right upper lobectomy in April 2007. Subs…

oncologyneurosurgery
SAhospital2012-09-19

Coroner's Finding: STEAD Kenneth Alfred

79y · Male·delirium due to aspiration pneumonia complicating advanced metastatic non-small …

A 79-year-old man with metastatic lung cancer suffered multiple strokes causing confusion and behavioural disturbance. He was detained under Mental Health Act. On the night shift, nursing staff found him unresponsive and…

oncologygeriatric medicinecommunicationsystem
SAaged care2011-12-22

Coroner's Finding: PORTER John Bruce

72y · Male·inanition of terminal metastatic carcinoma of the left lung

A 72-year-old man with chronic mental illness detained under the Mental Health Act died of inanition from terminal metastatic lung cancer at an aged care facility. He had advanced lung disease from chronic smoking and wa…

psychiatrypalliative careolanzapine
SAhospital2011-12-07

Coroner's Finding: VAN GELDER Herman

40y · Male·large bowel obstruction complicating disseminated carcinoma of rectum

A 40-year-old male died in prison custody from large bowel obstruction complicating disseminated rectal carcinoma. He had been diagnosed with adenocarcinoma in 2004, treated with radiotherapy and chemotherapy, with progr…

oncologysurgery
SAhospital2011-09-20

Coroner's Finding: BELLOCCO (aka Ieva) Carmelina

61y · Female·respiratory failure secondary to advanced malignancy

Ms Carmelina Bellocco, aged 61, died from respiratory failure secondary to advanced metastatic colon cancer. She had longstanding paranoid schizophrenia with poor insight and compliance. Cancer was diagnosed in 2006 afte…

oncologycolorectal surgery
SAmental health2011-08-26

Coroner's Finding: XU Yan Yi

50y · Female·compression of the neck consistent with hanging

Yan Yi Xu, a 50-year-old woman with a history of depression and recent breast cancer diagnosis, was admitted to Cramond Clinic psychiatric ward following a suicide attempt on Christmas Day 2008. She died by hanging in he…

psychiatrygeneral practicediagnosticcommunicationsertraline
SAhospital2011-08-05

Coroner's Finding: SEMMLER Howard Malcolm

60y · Male·cardiorespiratory failure due to malignant pleural effusion due to metastatic ma…

A 60-year-old man with diabetes presented with a plantar heel ulcer in March 2007 that was initially treated as a diabetic foot ulcer. The lesion failed to heal over 16 months despite standard care including wound dressi…

general practiceorthopaedic surgerydiagnosticdelay
SA2010-10-06

Coroner's Finding: MILLER James William

68y · Male·end stage liver failure due to hepatitis C

James William Miller, aged 68, died of end-stage liver failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had multiple comorbidities including prosta…

palliative careoncologythiamine
SA2009-06-03

Coroner's Finding: GROOTVELD Gerard

75y · Male·disseminated carcinoma of the prostate gland

Gerard Grootveld, a 75-year-old prisoner, died from disseminated prostate cancer with bone metastases. Sentenced in July 2006 despite known advanced cancer and multiple comorbidities, his health rapidly deteriorated in c…

palliative carecorrectional health
SA2006-06-16

Coroner's Finding: HODSON Lawrence John

63y · Male·complications from carcinoma of the lung

Lawrence John Hodson, a 63-year-old man detained in custody at Glenside Campus under the Criminal Law Consolidation Act, died from complications of lung cancer. He had been diagnosed with cancer in 2003 and was receiving…

oncologyrespiratory medicinesalbutamol
SAhospital2006-01-24

Coroner's Finding: McMAHON Gary Michael

63y · Male·pancreatic carcinoma

Gary Michael McMahon, aged 63, died of pancreatic carcinoma at Royal Adelaide Hospital on 5 January 2005 while detained under the Mental Health Act. He was admitted following collapse at home with a history of diabetes, …

psychiatryneurosurgery
SAhospital2004-04-30

Coroner's Finding: YOUNG Iris Patricia

60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…

A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …

oncologyrespiratory medicinediagnosticcommunicationheparin
SAhospital2003-03-28

Coroner's Finding: KUZNIK Viktor

67y · Male·cancer of the stomach with metastasis liver

A 67-year-old man serving a life sentence died of metastatic stomach cancer in hospital. He was diagnosed with terminal gastric cancer in April 2000 and underwent a palliative gastric bypass procedure. Due to inability t…

oncologygastroenterology

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