18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
…hospital care at Maroondah and Box Hill, the underlying cause was progressive, untreated malnutrition and chronic disease related to extreme obesity and dietary restriction driven by behavioural rigidity. The key clinic…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription dr…
17y · Female·ligature compression of the neck (hanging)
A 17-year-old girl in state care died by suicide on 16 April 2017 after being discharged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver…
56y · Male·Aspiration of gastric content secondary to combined drug toxicity
A 56-year-old de-registered doctor died from aspiration of gastric content secondary to combined drug toxicity. He had a long history of prescription drug dependency and multiple mental health issues. Two general practit…
62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…
Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…
18y · Female·Mixed drug toxicity
Tiesha Marie Derbyshire, an 18-year-old with complex mental health conditions including eating disorder, PTSD, and borderline personality disorder, died from mixed drug toxicity after intentionally overdosing on proprano…
44y · Female·unascertained (consistent with Streptococcus dysgalactiae and Staphylococcus aur…
Maureen Mandijarra, a 44-year-old Aboriginal woman with poorly controlled diabetes and recurrent skin infections, was arrested at Male Oval on 29 November 2012 for street drinking under a zero-tolerance police approach. …
68y · Male·Metastatic Pancreatic Adenocarcinoma
Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…
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