Coronial

154 results for malnutrition

VIChospital2011-04-04

Finding into death of Michael Metcalfe

56y · Male·Hepatorenal syndrome from end-stage liver disease (multifocal hepatocellular car…

Michael Metcalfe, a 56-year-old male prisoner with end-stage liver disease from hepatitis C cirrhosis and hepatocellular carcinoma, died from hepatorenal syndrome while in custody. He was transferred between prison facil…

palliative carehepatology
WAcommunity2025-04-17

Inquest into the Death of David Greenwood

42y · Male·Unascertained; most likely exposure after wandering in bushland

David Greenwood, a 42-year-old Aboriginal man with chronic alcohol dependence and a chronic chest infection, disappeared from Gindalbie Station near Kalgoorlie on 14 October 1984. He was experiencing delirium tremens (al…

VIChome2019-11-28

Finding into death of Sonya Szala

49y · Female·Anorexia

Sonya Szala, 49, died from anorexia nervosa after suffering severe metabolic derangement and extreme emaciation. She became a recluse following her mother's death in 2016 and progressively deteriorated both physically an…

emergency medicinepsychiatrydelaybisacodyl
SAhospital2017-08-25

Coroner's Finding: KELBIN William Thomas

81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…

William Thomas Kelbin, aged 81, died from gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia. He had been placed under guardianship with detention powers after becoming unable to self…

geriatric medicinegeneral medicine
VIChospital2014-11-28

Finding into death of June Olive Pegg

80y · Female·peritonitis due to sigmoid resection margin leak following extended right hemico…

… imaging to exclude anastomotic leak, but this was not performed. The patient was high-risk due to age, malnutrition (low albumin), and anaemia. On day 6, hypotensive episodes met MET call criteria (BP 82/50) but no call…

colorectal surgerygeneral surgerydiagnosticdelayfurosemide
VIChospital2016-08-26

Finding into death of Alan William Worrall

47y · Male·Progressive multifocal leukoencephalopathy

Alan William Worrall, a 47-year-old man with HIV infection, poor antiretroviral adherence, hepatitis C, and epilepsy, died from progressive multifocal leukoencephalopathy (PML) caused by JC virus. He was in custody when …

infectious diseasesgeneral medicineanti-retroviral medications
SAaged care2017-08-25

Coroner's Finding: WEIR Maureen Mary

79y · Female·General inanition due to advanced vascular dementia on a background of ischaemic…

Maureen Mary Weir, aged 79, died of general inanition due to advanced vascular dementia with background ischaemic heart disease and chronic lymphatic leukaemia. She was a resident at Kapara Nursing Home under a Guardians…

geriatric medicinepalliative care
SAhospital2018-05-23

Coroner's Finding: LA BELLA Claudia

28y · Female·aspiration of gastric contents complicating laxative abuse

A 28-year-old woman died from aspiration of gastric contents complicating severe laxative abuse. She fabricated a terminal cancer diagnosis to conceal anorexia nervosa and factitious disorder. During a RAH admission, a C…

general practicegeneral medicinediagnosticcommunicationbisacodyl
QLDhospital2025-07-14

Non-inquest findings into the death of a two year old girl whose family was known to Child Safety

2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection

A two-year-old girl died from complications of severe iron-deficiency anaemia and COVID-19 infection. She had significant feeding difficulties, took almost exclusively milk and yoghurt, and was profoundly anaemic with po…

paediatricsemergency medicinediagnosticdelaymethamphetamine
SAmental health2005-01-27

Coroner's Finding: ROBJOHNS Ronald Thomas

89y · Male·congestive cardiac failure due to ischaemic heart disease and aortic valve steno…

Ronald Thomas Robjohns, 89, died of congestive cardiac failure due to ischaemic heart disease and aortic valve stenosis while detained under the Mental Health Act at Glenside Hospital. He was admitted following severe de…

psychiatrygeriatric medicinesertraline
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pa…

emergency medicinegeneral practicediagnosticsystemcannabis
SAhome2002-09-06

Coroner's Finding: HUNT Kunmanara

25y · Female·inhalation of petrol (hydrocarbon inhalation)

This is a complex coroner's inquest into three Aboriginal deaths from petrol inhalation on the Anangu Pitjantjatjara Lands. Kunmanara Hunt, age 25, died on 27 January 2001 after inhaling petrol fumes while lying face-dow…

toxicologyforensic medicinesystemdelaypetrol
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

Chloe Tupper died of organ failure due to severe anorexia nervosa at age 31. She had suffered from this illness for 17 years since age 14, receiving multiple episodes of hospital-based refeeding that never achieved lasti…

psychiatrypaediatricssystemcommunicationmirtazapine
TAShome2023-05-04

Coroner's Finding: Chuah Soo Lan

65y · Female·undetermined; possibly ischaemic heart disease or squamous cell carcinoma of ton…

A 65-year-old Malaysian woman with advanced squamous cell carcinoma of the tongue refused medical treatment due to visa concerns and preference for alternative therapy. She deteriorated over months with worsening oral sy…

oncologydentistrydelaysystem
QLDhospital2013-07-05

Brennan, Phil John Richard

13y · Male·Staphylococcus aureus bronchopneumonia due to perinatal hypoxic-ischaemic brain …

…er the following week, and he died shortly after arriving at hospital. The coroner found no evidence of malnutrition, abuse, or neglect by his parents, who were described as loving and devoted caregivers. Key clinical le…

general practicepaediatricsdiagnosticdelay
TAShospital2022-11-11

Coroner's Finding: Revell, Dianne Judith

65y · Female·decompensated liver failure

Ms Revell, a 65-year-old with Child Pugh Class C cirrhosis secondary to 20 years of heavy alcohol use and hepatitis C, was admitted following an intoxicated fall causing an olecranon fracture. Post-operatively, she devel…

general surgerygastroenterologycommunication
WAhospital2019-12-20

Inquest into the Death of Child TJW

7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…

…entary oxygen, and seizure control. Initially cared for at home with Department support, concerns about malnutrition and respiratory distress in 2016 led to placement in specialist residential care at Lady Lawley Cottage…

paediatricsneurologymorphine
NThospital2006-10-02

Inquest into the death of Freddie Peterson

30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis

Freddie Peterson, a 30-year-old Aboriginal man from Papunya, died in custody from bacterial endocarditis complicated by diffuse alveolar damage. He was imprisoned for nine months and presented to the prison medical centr…

cardiologyinfectious diseasesranatidine
SAhome2011-08-11

Coroner's Finding: PIRO Barbara Mary

91y · Female·pulmonary thromboembolism and subcutaneous abscess formation complicating pressu…

A 91-year-old woman died from pulmonary thromboembolism and abscess formation complicating untreated ankle fracture and pressure sores. She had sustained a fracture-dislocation of her right ankle after a fall, which she …

geriatric medicineemergency medicinedelaysystem
VIChospital2025-06-02

Finding into death of Julie Elizabeth Bruton

58y · Female·Aspiration pneumonia in association with rapidly progressive frontotemporal deme…

Julie Bruton, aged 58, died from aspiration pneumonia associated with rapidly progressive frontotemporal dementia and malnourishment. She was admitted to hospital on 17 December 2023 with acute respiratory distress and d…

palliative caregeriatric medicine

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