873 results
51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …
Tom Foski, a 51-year-old man with chronic schizophrenia, died from congestive cardiac failure associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including diabetes, COPD, prev…
47y · Female·bronchopneumonia in context of ischaemic heart disease, chronic renal failure, a…
Amanda Gilbert, aged 47, died from bronchopneumonia with background ischaemic heart disease, chronic renal failure, and hypoxic brain injury from a 1985 hanging attempt. She had been an involuntary patient at Graylands H…
49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…
Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July 2005 of unascertainable cause. Possible explanations incl…
53y · Male·ligature compression of the neck (hanging)
Gregory Laurence Hunt, a 53-year-old man with chronic schizophrenia, died by suicide at Graylands Hospital while an involuntary patient. He hanged himself using a shower hose in a bathroom on an open ward. The coroner fo…
32y · Male·ligature compression of the neck (hanging)
Aaron Luke Prisgrove, a 32-year-old man with depression, alcohol abuse, and acromegaly, died by hanging on 12 July 2011, shortly after involuntary admission to Graylands Hospital's Smith Ward. He had presented to Tom Pri…
19y · Female·combined drug effect and myocarditis
A 19-year-old Aboriginal woman with alcohol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Roy…
75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…
Wilma Ray Jones, 75, died of abdominal infection and sepsis following uncomplicated umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarction, likely caused by superior mesenteric artery occlusion tri…
0y · Female·Pneumococcal meningitis
Allegra, aged 6 months, died of pneumococcal meningitis after a Healthdirect telephone triage call on 28 April 2010 that resulted in inappropriate home-care advice. She presented with fever (38.9°C), shallow rapid breath…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
Henry Edwin Kerr, 86, died of acute myocardial ischaemia following left inguinal hernia surgery at Esperance District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and …
24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest
A 24-year-old female with brittle Type 1 diabetes and multiple comorbidities presented to Joondalup ED with a rapidly spreading blistering rash on 3 September 2009. Dr C. appropriately identified a potentially serious de…
68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema
A 68-year-old woman with severe COPD and undiagnosed atherosclerotic heart disease underwent cataract surgery at Northam Hospital. Post-operatively, she was prescribed Diamox (acetazolamide), a sulphonamide medication. D…
87y · Female·heart failure and probable pneumonia in an elderly lady complicated by morphine …
An 87-year-old woman with dementia, heart disease, and hypertension presented with chest pain and hypoxia. A locum doctor (Dr B.) administered 20mg morphine intramuscularly without reviewing the patient's notes, medical …
39y · Male·propofol toxicity
Craig Doherty, a 39-year-old clinical theatre nurse at Royal Perth Hospital, died from propofol toxicity in June 2010. He had unrestricted access to propofol as an anaesthetic agent and misappropriated it for recreationa…
27y · Female·opiate toxicity (fentanyl)
Hayley Fisher, a 27-year-old midwife at King Edward Memorial Hospital, died from accidental opiate toxicity after injecting a fatal quantity of fentanyl she obtained from a patient-controlled analgesia device. She had a …
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
A 38-year-old remand prisoner with schizophrenia on clozapine died suddenly in prison from acute drug toxicity (clozapine-induced cardiac arrhythmia). He had been transferred from psychiatric hospital to prison on 20 Jul…
55y · Female·Aspiration of Gastric Contents in Association with Gastric Necrosis in a patient…
A 55-year-old woman died of aspiration following gastric necrosis associated with a gastric band device inserted in 2008. She presented with vomiting and feeling unwell starting 31 October 2009, but never complained of p…
47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis
A 47-year-old man from Carnarvon underwent elective laparoscopic cholecystectomy at Geraldton Regional Hospital on 31 August 2009 after a 5-hour coach journey that morning. The VTE Risk Assessment Form correctly classifi…
17y · Female·Acute Methylenedioxymethylamphetamine (MDMA) toxicity
Gemma Thoms, a 17-year-old girl, died from acute MDMA toxicity after consuming three ecstasy tablets at the Big Day Out music festival on 1 February 2009. She collapsed and died on 2 February 2009. Key clinical lessons: …
54y · Female·unascertainable
Tracy Margaret Marshall was a 54-year-old woman admitted to Nickol Bay Hospital on 20 February 2011 after reporting suicidal ideation and three suicide attempts. She presented with signs of psychotic illness including bi…
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