161 results for “clinical dehydration”
90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia
… severe hypernatraemia. She died 4 days later from infected sacral ulcer and fluid/nutritional imbalance. Clinical forensic review identified failures in communication with her Enduring Power of Attorney (daughter), inad…
73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…
…ery. She had complex medical history with multiple post-operative complications including haematemesis, dehydration, vomiting, and deep vein thrombosis. The critical failure was delayed recognition and management of sep…
78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…
… retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for approximately one week at home before paramedics found her in poo…
33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…
…s. On 13 September, she presented with non-specific symptoms (headache, dizziness) and was assessed for dehydration only. She deteriorated rapidly with sepsis and died two days later. The coroner found the Department ha…
17y · Female·Multi System Failure following acute onset (Acute Diabetic Ketoacidosis) Diabete…
…ysis or considering diabetes as a differential diagnosis, and failure to appreciate the severity of Lee's clinical deterioration. She deteriorated overnight and was found unresponsive on 28 February, dying in hospital IC…
26y · Male·Not able to be determined - skeletalised remains
…estmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of erratic behaviour. He was briefly assessed by nursing staff but …
20y · Male·acute heat stress (circumstances undetermined)
Michael Campbell, aged 20 months, died on 18 April 2008 from acute heat stress. He was placed in his bedroom cot by his mother after returning home from grandparents' house. He was found unconscious and extremely hot app…
89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…
…aware that eGFR calculations may underestimate renal impairment in elderly patients; (5) provide specific clinical instructions to aged care staff when prescribing high-risk medications.
26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…
Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…
36y · Female·exercise-associated hyponatraemia with fatal cardiac arrhythmia in the setting o…
…eizing on day 2 of the trek after consuming excessive fluids during strenuous activity in hot conditions. Clinical lessons include recognizing EAH as a serious risk in endurance activities—not just dehydration—and educat…
68y · Male·Ischaemic small and large intestine complicating cardiogenic shock in the settin…
…on but was not reviewed by a doctor until transferred to hospital on 4 October. He died the same day. Key clinical lessons: (1) symptoms like vomiting and diarrhoea in elderly prisoners may indicate serious pathology, no…
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
…re including prophylactic anticoagulation, but the patient deteriorated and died from pulmonary embolism. Clinical lessons: family carers require oversight through mandatory annual medical reviews; elderly patients with …
11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…
Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and vomiting. She died 12 ho…
76y · Female·Acute renal failure due to dehydration due to upper gastrointestinal bleed
A 76-year-old woman with chronic pain was admitted to a small rural hospital on 1 April 2015 with haematemesis secondary to NSAID use. Blood tests were ordered on admission but not transported to the district hospital fo…
81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…
…rt disease. She experienced multiple falls over 3.5 months in aged care, with rapid functional decline, dehydration, and weight loss. Hospitals requested urine dipstick tests in August and September 2016, but results we…
75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…
…ively but was diagnostically subtle, presenting initially as post-operative pain controlled by analgesia. Clinical deterioration occurred rapidly on day 3, with sepsis only becoming apparent around midday on 21 March. Al…
80y · Male·inanition complicating end stage dementia
An 80-year-old man with end-stage dementia died from inanition (severe malnutrition/dehydration) while subject to Mental Health Act inpatient treatment orders. He had been admitted after becoming agg…
45y · Female·Extensive retroperitoneal haemorrhage following bone marrow biopsy procedure wit…
Susan Denise Evans, a 45-year-old woman with complex medical history including neurofibromatosis type 1, essential thrombocytosis, prior cancers, and recent cerebral infarcts on warfarin, underwent bone marrow biopsy at …
37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …
…wning. He was experiencing a psychotic episode related to unmedicated schizophrenia when he went missing. Clinical lessons include: the critical importance of not ceasing antipsychotic medication in chronic schizophrenia…
29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…
Grant Austin, a 29-year-old man with intellectual disability and morbid obesity, died from aspiration pneumonia complicating Wernicke's encephalopathy. He presented with prolonged refusal to eat and drink from December 2…
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