Inquest into the Death of Stuart William DUGAN
70y · Male·carcinoma of the lung
Stuart Dugan, a 70-year-old prisoner with advanced lung cancer, died in hospice care. He had multiple missed opportunities for earlier diagnosis. While smoking-rel…
105 results for “obstructive lung disease”
70y · Male·carcinoma of the lung
Stuart Dugan, a 70-year-old prisoner with advanced lung cancer, died in hospice care. He had multiple missed opportunities for earlier diagnosis. While smoking-rel…
56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…
Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately inves…
66y · Male·metastatic oesophageal cancer
…al Adelaide Hospital where CT and endoscopy confirmed advanced oesophageal adenocarcinoma with metastatic disease to lungs, liver, spleen and lymph nodes. Palliative care was agreed upon and he was admitted to Queen Eli…
64y · Male·Complications of eosinophilic asthma with bronchiectasis and allergic bronchopul…
…lacks reference ranges. These respiratory-depressant drugs were contraindicated given his severe underlying lung disease. Clinical lessons include: oxycodone and benzodiazepines are dangerous in patients with severe asth…
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
An 83-year-old man with dementia and ischaemic heart disease underwent elective left total knee replacement under spinal anaesthesia to avoid general anaesthesia, as …
81y · Male·bronchopneumonia
An 81-year-old man with dementia, congestive cardiac failure, chronic lung disease and hip fractures died of bronchopneumonia four days after discharge from palliative care to a nurs…
82y · Male·Complications associated with advanced chronic lung disease
Ivan Metcalfe, aged 82, died of complications from advanced chronic lung disease while in prison custody. He had multiple comorbidities including diabetes, ischaemic cardiovascular…
85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…
…ngong Private Hospital for convalescence, died from sepsis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electrolyte disturbances after refusing oral intake from hosp…
67y · Female·disseminated adenocarcinoma of the colon
A 67-year-old woman with metastatic colorectal cancer developed multiple cerebral metastases causing marked behavioural changes (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act…
76y · Male·Effects of fire due to home oxygen ignition in the setting of smoking; lung canc…
A 76-year-old man with lung cancer and mesothelioma died from thermal injuries sustained when his home oxygen ignited while smoking. He…
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
…ARDS. The coroner found sedation from multiple CNS depressants combined with his comorbidities (chronic obstructive airways disease, morbid obesity, undiagnosed coronary artery disease) likely triggered collapse. Critic…
66y · Male·Coronary atherosclerosis with emphysema as secondary cause
Harold James Carpenter, a 66-year-old prisoner with significant comorbidities including ischaemic heart disease, emphysema, hepatitis C and possible malignancy, died from coronary atherosclerosis and emphysema. He pre…
83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…
An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …
78y · Male·general inanition on a background of end-stage dementia
Murray Franklin, aged 78, died of general inanition from end-stage dementia whilst under involuntary psychiatric detention. He had advanced mixed dementia with severe behavioural disturbance and aggression requiring mult…
62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…
…ul Rodda, a 62-year-old long-term prisoner with extensive medical comorbidities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. Imaging …
92y · Female·Clozapine toxicity in a lady with terminal lung carcinoma
A 92-year-old woman with terminal lung cancer died from clozapine toxicity after receiving medication intended for another resident. An Enrolled N…
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
… woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden arrhythmia.…
67y · Male·Head injuries sustained in falls
Martin Barlow, 67, died from head injuries sustained in two falls on 5 August 2022 while intoxicated (BAC 0.17 g/100mL). He suffered subarachnoid haemorrhage and subdural haemorrhage. After Ms Burrell called emergency se…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
…9. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and seizures. Deaths resulted from untreated chronic conditions exacerbated by rough sleeping, inadequat…
59y · Male·Pulmonary embolus
… diagnosed COPD based on normal vitals, clinical examination, normal ECG, and chest X-ray showing increased lung volumes. The patient was discharged with outpatient follow-up. He died at home the next day; autopsy reveal…
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