917 results
88y · Female·pulmonary thromboembolism due to fractured right femur due to a fall
Cynthia Thoresen, 88-year-old woman with dementia and osteoporosis, fell at home and sustained a fractured femur approximately three weeks before admission. Her daughter, the registered carer, failed to seek medical atte…
28y · Male·Aspiration pneumonia
A 28-year-old man with severe cerebral palsy and epilepsy died from aspiration pneumonia. He was admitted to hospital with respiratory distress on 14 June 2011, where a palliative care approach was agreed with his mother…
38y · Male·Aspiration pneumonia in the setting of cerebral palsy
Argyrios Carras, a 38-year-old man with cerebral palsy, intellectual disability, scoliosis and oesophagitis, died from aspiration pneumonia. He was dependent on PEG feeding and had a history of recurrent respiratory infe…
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…
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…
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 …
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 …
83y · Male·Aspiration pneumonia
An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he presented with acute swallowing difficulty and was examined by his GP w…
65y · Male·Pneumonia in a man with chronic pulmonary disease (COPD and emphysema), with asp…
Phillip Van Vegten, a 65-year-old sentenced prisoner with longstanding COPD, emphysema, and lung cancer, died of pneumonia complicated by aspiration of vomit (Wilkes Syndrome) at Royal Perth Hospital. The coroner found m…
75y · Male·Unascertainable due to advanced decomposition; likely lung cancer
Robert Roll, a 75-year-old socially isolated pensioner with terminal lung cancer, discharged himself from Royal Perth Hospital on 6 July 2009 against planned palliative care arrangements. Although Silver Chain Hospice ar…
60y · Male·Pneumonia in a man with advanced metastatic angiosarcoma
A 60-year-old prisoner serving a life sentence died of pneumonia complicated by advanced metastatic angiosarcoma. He had two rare medical conditions: epithelioid angiosarcoma (diagnosed 2007) and aortitis. A significant …
32y · Male·complications of metastatic pancreatic cancer
A 32-year-old male prisoner died from metastatic pancreatic cancer at a hospice. Pancreatic cancer was diagnosed shortly after incarceration when jaundice was detected. He received appropriate oncology treatment and pall…
78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)
William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer.…
44y · Male·Metastatic small cell neuroendocrine carcinoma of lung
Robert Gerhardt, 44, died of metastatic small cell lung cancer on 6 May 2011 at Princess Alexandra Hospital, shortly after receiving compassionate parole. He had presented to PAH emergency department on 28 September 2010…
69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…
Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …
67y · Male·Acute on chronic renal failure with pyelonephritis
William Heale, a 67-year-old man with Down syndrome and chronic renal failure, died from acute-on-chronic renal failure complicated by pyelonephritis. He was initially managed in the community with support from the Depar…
52y · Male·Left upper lobe collapse/bronchopneumonia and haemorrhagic pleural effusion seco…
Yong Lam Chai, a Malaysian national serving a life sentence for drug importation, died from advanced metastatic lung cancer with pleural effusion at Royal Darwin Hospital in July 2011. The coroner found that care provide…
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…
65y · Male·Metastatic adenocarcinoma of unknown primary origin
Sen Hung Chen, a 65-year-old prisoner with hepatitis C cirrhosis, diabetes and hypertension, died from metastatic adenocarcinoma of unknown primary origin while in custody at Princess Alexandra Hospital Secure Unit. He p…
62y · Male·Complications of end stage liver disease
Donald Edward Paterson, a 62-year-old man with Child-Pugh Class C cirrhosis secondary to hepatitis C, diabetes, and depression, died from complications of end-stage liver disease while an inmate in custody receiving pall…
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