66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…
Nola Walker, a 66-year-old retired nurse, died from splenic rupture and haemorrhage caused by blunt force trauma from a motor vehicle accident. She was involved in a minor crash, assessed by paramedics who found normal v…
1y · Male·acute meningitis from Streptococcus pneumoniae, associated with diffuse brain sw…
…meningitis as viral gastroenteritis; failure to recognise severe illness despite tachycardia, tachypnoea, lethargy, and inability to tolerate oral fluids; inappropriate discharge after failed oral rehydration attempt; an…
0y · Male·Head injury from non-accidental trauma (forced shaking) occurring on 11 May 2009
…stent with prior and recent trauma. Clinical lessons: (1) premature infants presenting with poor feeding, lethargy, and vomiting require investigation for traumatic head injury even without disclosed trauma history; (2) …
86y · Male·Cardiac arrest triggered by electrolyte imbalance and sepsis secondary to compli…
An 86-year-old man with significant comorbidities died in a low-care nursing home from complications of an incarcerated umbilical hernia with bowel ischaemia, sepsis, and cardiac arrhythmia. His GP examined him briefly (…
2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection
A two-year-old girl died from complications of severe iron-deficiency anaemia and COVID-19 infection. She had significant feeding difficulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with po…
11y · Male·Sepsis
An 11-week-old premature infant presented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until …
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
… Hospital emergency department. She presented with gastrointestinal symptoms, fever, cold extremities and lethargy but was triaged as low-acuity (category 4). Critical missed opportunities occurred: a junior doctor perfo…
4y · Male·Severe rhabdomyolysis due to LPIN1 gene mutation
…tation. Over 12 months before death, he presented with recurrent episodes of dark urine, muscle pain, and lethargy. Multiple GPs and a paediatrician investigated but failed to recognise the pattern. On 30 June 2010, he p…
4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer
…al communication died from peritoneal sepsis caused by a perforated duodenal ulcer. Presentation included lethargy, poor oral intake, low haemoglobin (61 g/L), very low sodium (114 mmol/L), elevated white cell count, and…
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