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SAhospital2005-08-30

Coroner's Finding: O'BRIEN Barbara Ann

57y · Female·right bronchopneumonia following hypoxic brain damage secondary to cardiac arres…

A 57-year-old woman with chronic schizophrenia and non-insulin dependent diabetes was admitted to a psychiatric ward after detention under the Mental Health Act. She was found in cardiac arrest on 8 December 2001 and suf…

psychiatryemergency medicinediagnosticcommunicationclozapine
SAhospital2005-08-11

Coroner's Finding: ROSATI Giovanni

71y · Male·Combined effects of ischaemic and valvular heart disease

A 71-year-old man with chronic paranoid schizophrenia was detained under the Mental Health Act after community mental health workers observed physical signs of heart failure (dyspnea, bilateral pitting edema) during home…

psychiatrycardiology
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

A 41-year-old man with a pre-existing aortic valve abnormality developed staphylococcal septicaemia, likely initiated by Q fever exposure at his abattoir workplace or a finger laceration. He presented with fever and ches…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
SAhospital2005-06-02

Coroner's Finding: GREEN Marie

64y · Female·Respiratory arrest secondary to morphine overdosage on a background of mild to m…

A 64-year-old woman died from respiratory arrest secondary to morphine overdose after ingesting 17 tablets of slow-release morphine (Kapanol) and diazepam. Initial emergency assessment by an intern was appropriate, but c…

emergency medicinegeneral medicinecommunicationdiagnosticmorphine
SAhospital2005-04-07

Coroner's Finding: MULVINSKAS Anna

79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure

Mrs Mulvinskas, a 79-year-old with end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became …

general medicinenephrologycalcium
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

Christopher Hollens, a 44-year-old man with chronic schizophrenia, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia after a 15-day admission to Royal Adelaide Hospital. He was trans…

psychiatrygeneral medicinephenytoin
SAmental health2004-07-30

Coroner's Finding: BETTS Colin Eric

59y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis

Colin Eric Betts, a 59-year-old man with alcoholic dementia and Korsakoff's syndrome, died from pulmonary thromboembolism due to left deep calf vein thrombosis while detained in a psychiatric hospital. He was on multiple…

psychiatrygeneral medicineolanzapine
SAhospital2004-07-15

Coroner's Finding: JOVANOVIC Katica

46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis

A 46-year-old woman with schizo-affective disorder died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing f…

psychiatrygeneral medicinediagnosticcommunicationzuclopenthixol
SAhospital2004-06-25

Coroner's Finding: HYNES Centella Theresa

50y · Female·respiratory arrest on a background of left lower lobe pneumonia in a person with…

Centella Theresa Hynes, a 50-year-old woman with schizoaffective disorder, intellectual disability, and primary pulmonary hypertension, died from respiratory arrest due to left lower lobe pneumonia while detained under m…

psychiatrycardiologywarfarin
SAhospital2004-05-19

Coroner's Finding: WOZNIAKOWSKI Andrzej

83y · Male·inanition with lobar pneumonia

An 83-year-old man with organic brain syndrome and severe malnutrition was detained under the Mental Health Act after being found in severe self-neglect. He was admitted to hospital where he received comprehensive multid…

emergency medicinepsychiatry
SAhospital2003-04-24

Coroner's Finding: KERKMAN Johannes Leonardis Stephanes

75y · Male·Multi-organ failure due to sepsis secondary to hospital-acquired pneumonia

A 75-year-old man with Alzheimer's dementia who was detained under Mental Health Act orders died from multi-organ failure due to sepsis secondary to hospital-acquired pneumonia. He was admitted to Royal Adelaide Hospital…

general medicineneurologyaspirin
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
SAmental health2003-03-28

Coroner's Finding: GAVA Mario

80y · Male·bilateral pulmonary thromboembolism

An 80-year-old man with dementia was detained under the Mental Health Act at Howard House (Hillcrest Hospital) for confusion, aggression, and behavioural disturbance. He died three days after admission from bilateral pul…

psychiatrygeriatric medicine
SAhospital2003-03-14

Coroner's Finding: MOUSTAKOS Erini

53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…

A 53-year-old woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospita…

psychiatrygeneral medicinewarfarin
SAmental health2003-01-10

Coroner's Finding: MYNHART Johann George

77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)

A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …

psychiatryemergency medicinecommunicationdelay
SAhospital2001-05-16

Coroner's Finding: HAMPTON Ronald Allen

77y · Male·respiratory failure caused by severe pneumonia

Ronald Allen Hampton, aged 77, died from respiratory failure due to severe pneumonia while detained under the Mental Health Act at Glenside Hospital. He had been admitted with behavioural disturbances related to dementia…

psychiatrygeneral medicineantibiotics
SAhospital2001-05-16

Coroner's Finding: KLOSE Glen Malcolm

71y · Male·Saddle pulmonary embolus as a consequence of deep venous thrombosis in the right…

Glen Malcolm Klose, aged 71, died from a saddle pulmonary embolus secondary to deep vein thrombosis in his right calf, a complication associated with his history of multiple knee surgeries. He was admitted to Glenside Ho…

psychiatrygeneral medicinedelay
SA2000-11-28

Coroner's Finding: STURT Royston Henry

58y · Male·hanging

A 58-year-old man remanded in custody awaiting trial died by hanging in prison. He had a history of depression treated with fluoxetine and was assessed by a forensic psychiatrist who found no evidence of depression or su…

psychiatrygeneral medicinecommunicationsystemfluoxetine
SAmental health2000-09-22

Coroner's Finding: WURST Olga Marie

81y · Female·respiratory arrest caused by bronchopneumonia contributed to by non-Hodgkin's ly…

An 81-year-old woman with dementia and non-Hodgkin's lymphoma died of respiratory arrest caused by bronchopneumonia while detained at a mental health facility. She was admitted to Glenside Hospital in November 1999 and t…

psychiatrygeneral medicinecefalexin
SAhospital2000-07-21

Coroner's Finding: TILBROOK James Henry

76y · Male·pneumonia

A 76-year-old man with dementia, detained under the Mental Health Act at Glenside Hospital, died of pneumonia. He had multiple comorbidities including congestive cardiac failure and irregular pulse. On 3 November, his pn…

psychiatrygeneral medicinemorphine

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