124 results
79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…
A 79-year-old man with ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from…
89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…
An 89-year-old woman with chronic venous leg ulcers complicated by squamous cell carcinoma died of multiple organ failure in a nursing home. She had been under guardianship following hospitalization in January 2013 for d…
91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…
Gordon Charles Smith, 91, died from multi-organ failure due to severe malnutrition (inanition) complicating prolonged delirium of unknown cause at Repatriation General Hospital on 30 July 2014. He had been admitted volun…
63y · Male·coronary artery thrombosis
A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had severe triple-vessel coronary artery disease with acute throm…
92y · Female·community acquired pneumonia on a background of end stage chronic obstructive ai…
Mrs Betty Hewlett, 92, died of community-acquired pneumonia on a background of end-stage COAD. She was admitted to hospital in late December 2012 with health deterioration and malnutrition (38kg). She developed acute psy…
81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…
Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaemic heart disease and chronic renal failure. He was detained und…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of i…
79y · Female·acute myocardial infarction and acute pulmonary oedema
A 79-year-old woman with stroke and cardiac history was admitted for rehabilitation but developed treatment-resistant depression. Despite comprehensive multidisciplinary management including medication trials (mirtazapin…
73y · Female·general inanition due to dysphagia on a background of multiple neurological and …
A 73-year-old woman with bipolar disorder, alcohol abuse history, and multiple medical comorbidities presented with stroke-like symptoms in March 2012. Neuroimaging was unrevealing. She was detained under the Mental Heal…
84y · Male·malnutrition in conjunction with heart, liver and kidney failure
An 84-year-old man with severe dilated cardiomyopathy, atrial fibrillation, chronic renal failure, and behavioural disturbance was admitted to Royal Adelaide Hospital following a fall. He displayed acute psychiatric symp…
76y · Female·colchicine toxicity
A 76-year-old woman with gout died from colchicine toxicity after being prescribed 500µg three times daily on 9 December 2010 for an acute attack. She developed diarrhoea from 15 December and died on 19 December with a p…
73y · Female·pneumonia and renal failure with hyperthermia
Beryl Jean Morgan, 73-year-old aged care resident, died from pneumonia and renal failure with hyperthermia after a brief hospital admission. She had been prescribed haloperidol for behavioural problems; while neuroleptic…
Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…
Two obese patients died from hypoxic-ischaemic encephalopathy following cardio-respiratory deterioration post-operatively at a private hospital without overnight medical cover. John Ryan (54) deteriorated within hours of…
67y · Male·aspiration pneumonia with contributing chronic schizophrenia
Robert Nicholas Hocking, a 67-year-old man with treatment-resistant chronic schizophrenia, died from aspiration pneumonia during his final hospitalization at Royal Adelaide Hospital. He was a long-term inpatient at Glens…
62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…
William Edward Hunt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003, but surgica…
62y · Male·multi organ failure due to atypical pneumonia
William Gripton, 62 years old with post-polio syndrome, presented to Kangaroo Island Hospital with upper respiratory tract infection that progressed to atypical pneumonia causing multi-organ failure and death. Critical c…
24y · Male·neck compression due to hanging
A 24-year-old man with depression and anxiety died by hanging in March 2009, three weeks after hospital discharge following an overdose. Critical clinical lessons emerge: (1) discharge summaries from psychiatric admissio…
89y · Female·acute renal failure with severe electrolyte disturbance due to sigmoid volvulus …
An 89-year-old woman with severe vascular dementia died from acute renal failure due to sigmoid volvulus while detained under the Mental Health Act. She was admitted to hospital for management of aggressive behaviour sec…
82y · Female·acute pyelonephritis complicating base of bladder malignancy
Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of…
56y · Female·multi-organ failure due to anorexia nervosa
A 56-year-old woman with a long history of anorexia nervosa and a BMI of 10.3 died from multi-organ failure after admission to hospital. She was found on her bedroom floor, dehydrated and malnourished, and was involuntar…
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