Coronial

154 results for malnutrition

VICcommunity2024-05-15

Finding into death of Denise Lucina Roberts

63y · Female·Combined features of bronchopneumonia, emphysema and ischaemic heart disease on …

A 63-year-old woman with depression, anxiety, liver cirrhosis, and chronic drug use died from bronchopneumonia, emphysema, and ischaemic heart disease following a prolonged lie on the ground with hypothermia. She missed …

general practiceaddiction medicinecommunicationsystemdiazepam
WAcommunity2022-08-18

Inquest into the Suspected Death of Nicholas PAVLIDIS

Male·Unknown - presumed deceased from exposure, heat exhaustion, or injury during unp…

Nicholas Pavlidis disappeared in October 2015 from Yanchep, Western Australia. He was last seen alive on 14 October 2015 by a friend. His vehicle was found abandoned in a pine plantation on 24 October 2015. Despite exten…

general practicepsychologysystemdelayfluoxetine
NT2016-09-02

Inquest into the death of Marrianne Munkara

45y · Female·Bronchiectasis

A 45-year-old Aboriginal woman with severe bronchiectasis, COPD, and cor pulmonale died at a sobering-up shelter after police protective custody. She had 15 hospital admissions in 2015 for acute exacerbations related to …

respiratory medicineemergency medicinesystemcommunication
QLDhospital2007-08-26

Fitter, Maureen

60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…

A 60-year-old woman died from cardiac tamponade caused by TPN fluid leaking into the pericardium through a PICC line inserted to provide nutrition following bowel surgery. The PICC line was inserted under image intensifi…

colorectal surgerygastroenterologytotal parenteral nutrition
TAShome2023-04-03

Coroner's Finding: De-identified HJ

71y · Female·starvation

A 71-year-old woman with chronic mental illness died of starvation in her home in Tasmania. Police attended on 9 December 2021 for a welfare check and found her severely malnourished, mentally unwell, and unable to care …

psychiatrygeneral practicecommunicationsystem
NThospital2019-11-22

Inquest into the death of Lebron Douglas Martin

4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …

Lebron Martin was a 4-year-old Aboriginal child with Niemann-Pick Type C disease, a progressive neurodegenerative disorder. He died from respiratory failure secondary to pneumonia in December 2017. Four months prior to h…

paediatricsneurologysystemcommunicationamoxicillin
VICcommunity2016-12-05

Finding into death of Miroslaw Dziczkowski

40y · Male·UNDETERMINED - natural causes (most probably natural disease; starvation could n…

Miroslaw Dziczkowski, a 40-year-old man with paranoid schizophrenia managed under a Community Treatment Order, disappeared in January 2013 after withdrawing $7300 and relocating to a caravan park without notifying his me…

psychiatryforensic medicinesystemdelayzuclopenthixol decanoate
VIChome2014-07-03

Finding into death of Daniel Michael Brendan Thomas

2y · Male·Unascertained causes; on balance of probabilities, inflicted injuries on evening…

Daniel Thomas, aged 2 years 8 months, died on 13 October 2003 from unascertained causes, likely inflicted injuries resulting from abuse. He had been living with Ms Martyn from September 2003, during which time he was sub…

paediatricsforensic medicinesystemdelay
QLDaged care2018-04-09

Enid Patricia Hiddle - Non-inquest findings

81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…

An 81-year-old woman with Alzheimer's disease, osteoporosis, and severe coronary artery disease died from acute pyelonephritis (kidney infection) combined with coronary heart disease. She experienced multiple falls over …

general practiceemergency medicinediagnosticcommunication
WAhome2023-11-10

Inquest into the Death of Child ML (Name Subject to Suppression Order)

7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…

Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…

paediatricsrespiratory medicinemedicationsystemcodeine
QLDhospital2025-06-20

Inquest into the death of Christopher Glen Essery

74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…

Christopher Essery, a 74-year-old man with complex fistulating Crohn's disease, died from sepsis following surgery on 24 January 2019. He was transferred to Princess Alexandra Hospital (PAH) on 31 August 2018 for special…

colorectal surgerygastroenterologysystemcommunication
QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

8y · Male·prematurity-associated lung and bowel disease

Daniel Wright was a premature infant (born at 24 weeks) with multiple complex medical needs including chronic lung disease, developmental delay, and failure to thrive. He died aged eight months from prematurity-associate…

neonatologypaediatricsdiagnosticcommunication
SAhospital2000-07-21

Coroner's Finding: DRESCHLER Michelle Lee

27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…

A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using a 27 French bougie, smalle…

general surgerygeneral practiceproceduralcommunicationdiazepam
NTcommunity2009-06-04

Inquest into the death of Kunmanara Forbes

15y · Female·Hanging (self-inflicted)

A 15-year-old Aboriginal girl in a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually tran…

paediatricspsychiatrycommunicationsystem
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marg…

oncologygeneral practicediagnosticcommunication
WAprison- 31 January 2014

Inquest into the Death of Amy TINKER

33y · Female·multiple organ failure complicating sepsis in a woman with cirrhosis of the live…

Amy Tinker, a 33-year-old Aboriginal woman with unrecognised cirrhosis from chronic alcohol abuse, died from sepsis-related multi-organ failure while imprisoned. She had been admitted to Royal Perth Hospital in 2004 with…

general practicehepatologycommunicationsystem
VICaged care2020-10-22

Finding into death of Phillip Harry Parker

61y · Male·Pneumonia

A 61-year-old man with significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opioid …

geriatric medicineemergency medicinemedicationsystemtapentadol sr
NSW2024-05-17

Inquest into the death of Vicki Higgins

48y · Female·Ischaemic bowel, with contributing conditions of coronary artery disease, diabet…

Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (requiring ileostomy), and coronary artery disease, died from ischaemic bowel while in custody at Junee Correctional Centre on 29 January 2022, only 17…

general practicegastroenterologydiagnosticdelay
VIChospital2025-08-04

Finding into death of Winifred Jean Carpenter

82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…

Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did not recognize her de…

general surgerycolorectal surgerydiagnosticcommunication
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

61y · Female·multi organ failure due to abdominal sepsis

Lesley Arndell, aged 61, died from multi-organ failure due to abdominal sepsis after undergoing a Whipple's procedure for pancreatic cancer. Key clinical lessons include: (1) patients with previous bariatric surgery requ…

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam
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