129 results for “chest imaging”
1y · Female·acute myocardial infarction secondary to Kawasaki's Disease
… age. Initial clinical assessment by multiple doctors found no obvious cardiac abnormality on examination. Chest x-rays were reviewed by the treating doctor (non-radiologist) who noted pneumonia and possible cardiac enl…
94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…
…ady been performed, when in fact no such scan had been done. This communication error delayed appropriate imaging. However, the coroner found that earlier diagnosis would not have changed management—seven separate clini…
37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis
… despite NSW policy requirements; and incomplete diagnostic workup before discharge with a vague 'atypical chest pain' diagnosis. Had PE been diagnosed, anticoagulation could have prevented death. System improvements id…
51y · Female·Aspiration pneumonia in a woman with cerebral palsy and epilepsy
…e intravenous antibiotics, she had minimal oral intake due to low consciousness and swallowing difficulty. Chest imaging on 4 January showed right lung collapse with foreign material aspiration and left lower lobe conso…
4y · Male·Complications of T-cell lymphoma
…ymphoma presentation was rare and atypical, the patient clinically improved during admission, and earlier imaging would have required general anaesthetic that could have precipitated arrest given the mass size. Key lear…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
…nd was available on the hospital computer system he was unaware of. Had this report been read and further imaging pursued, the diagnosis might have been made. The case demonstrates failures in: familiarisation with diag…
72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)
…eing rechecked or documented, without examination by the discharging doctor, and without septic workup or imaging. Hours later he collapsed with septic shock and died despite ICU admission. The coroner found sepsis (lik…
44y · Male·Ischaemic heart disease due to coronary atherosclerosis
…edema and dyspnoea on exertion, concerning for possible cardiac pathology. Despite investigation including chest X-ray, abdominal ultrasound, and echocardiogram (all reportedly normal), the underlying coronary artery di…
56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…
…his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation and imaging, which was objectively reasonable. Two CT-guided biopsies on 8-9 November were attempted but unsuccessful…
61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…
…reception, then developed progressive respiratory and abdominal symptoms. Lung lesions were identified on imaging in early April, with subsequent discovery of extensive liver metastases by May. The coroner found Mr May …
12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …
…ectrum disorder presented with a week of fever and non-specific symptoms (cough, vomiting, abdominal pain, chest pain) to a rural hospital. Despite high inflammatory markers and blood culture eventually showing pneumoco…
0y · Female·Global hypoxic-ischaemic injury of unknown cause
A three-day-old girl, Baby Kirat, died from global hypoxic-ischaemic brain injury sustained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was resuscitated and transferred to NICU but…
55y · Male·cardiac tamponade resulting from proximal aortic dissection due to hypertension
A 55-year-old man presenting with acute severe chest pain, headache and jaw pain to a regional hospital was evaluated for aortic dissection. A CT angiogram was…
62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…
…ities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. Imaging revealed his AAA had ruptured. Emergency open repair was performed, during…
7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…
… unobtainable BP, faint pulses, and cool peripheries—especially after 12:25 AM—might have prompted urgent imaging (echocardiogram) and cardiology consultation. Enhanced training on central line complications, awareness …
72y · Female·multi-organ failure secondary to poly-trauma and likely bee-sting related toxidr…
Elaine Betty Sime, a 72-year-old fit and healthy woman, died from multi-organ failure following poly-trauma and bee sting toxidrome after a tree fell on her during a walk. The tree at Ruffey Lake Park Trail failed due to…
76y · Female·pulmonary embolism due to carcinomatosis
A 76-year-old woman presented to hospital with shortness of breath and was initially diagnosed with community-acquired pneumonia and later pulmonary oedema. Both diagnoses were incorrect. She had widespread cancer (carci…
75y · Male·Metastatic Lung Carcinoma
…at Murdoch Community Hospice. He presented with lethargy and dysphonia in February 2004, leading to prompt chest imaging that revealed extensive lung cancer with liver metastasis. He was managed appropriately through Ro…
31y · Male·Pulmonary thromboembolism
…(BMI 40.2) and sleep apnoea underwent extensive cosmetic surgery in Malaysia (liposuction, abdominoplasty, chest lipectomy, and subsequent facial procedures) across two operations within five days. Postoperatively, he d…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
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