Coronial

155 results for weight loss

TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling un…

geriatric medicinepathologydiagnosticcommunicationirbesartan
VIC2018-01-17

Finding into death of John Gale

64y · Male·Aspiration pneumonia in a man with dysphagia and acquired brain injury

…care facility for palliative management in July 2016 but deteriorated significantly with poor oral intake, weight loss, and various infections. His carers expressed concern that the facility lacked adequate nursing staff…

general practicegastroenterologysystemdelay
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

…ed on internet research and religious beliefs, and limited her medical consultations. She lost 58% of body weight (89kg to 37kg). Her GP and psychiatrist documented concerns about non-evidence-based dietary restrictions …

psychiatrygeneral practicesystemdelayrisperidone
VIChospital2023-05-02

Finding into death of Mr C

56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…

Mr C was a 56-year-old man with cerebral palsy and acquired brain injury who died from complications of Clostridioides difficile infection and malnutrition. He was admitted to hospital on 21 January 2022 with diarrhoea, …

general medicinegastroenterologydelayvancomycin
VIChospital2015-02-12

Finding into death of Mary Mulqueen

57y · Female·small bowel ischaemia; distal gastrectomy

57-year-old woman underwent distal gastrectomy and vagotomy for gastric outlet obstruction in August 2008. Coroner found she suffered an aberrant surgical reconstruction during the procedure, with abnormal bowel anatomy …

general surgerygastroenterologyproceduraldiagnosticesomeprazole
NSWhome2010-08-26

Coroner's Finding: Kate Therese Bugmy

26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…

Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…

general medicineemergency medicinesystemcommunication
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed thioridazine (Mellaril) for appro…

general practicepsychiatrythioridazine
VICcommunity2022-07-12

Finding into death of Timothy Dale Fehring

15y · Male·Hypoxic-ischaemic encephalopathy complicating cardiac arrest in the setting of b…

…on of ongoing gastrointestinal symptoms; (4) no red flags prompted urgent reassessment despite progressive weight loss, pallor, and continued vomiting. The coroner noted the acute infection may have been undetectable cli…

paediatricsemergency medicinediagnosticcommunicationparacetamol
VICmental health2022-12-15

Finding into death of Kira Shae James

21y · Female·Neck compression

Kira Shae James, a 21-year-old with psychosis, borderline personality disorder, and eating disorder, died by ligature at Thomas Embling Hospital while an involuntary inpatient under Mental Health Act orders. She had a le…

psychiatrypsychologyproceduralcommunication
WAhospital2019-06-21

Inquest into the Death of Gerda Theresia DUNKEL

44y · Female·pulmonary thromboembolism in a woman with likely myeloproliferative neoplasm

…I 30.5 and minimal comorbidities (snoring, back pain, knee pain) underwent elective sleeve gastrectomy for weight loss. Nine days post-op she presented with splenic rupture requiring emergency surgery. She subsequently d…

general surgerybariatric surgerydiagnosticcommunicationheparin
WAhospital2021-09-14

Inquest into the Death of Jeremy Michael SCOTT

63y · Male·metastatic rectal carcinoma

…ent missed large rectal mass despite examination). Annual health reviews, faecal occult blood testing, and weight monitoring were not performed. Had colonoscopy been offered and accepted in 2015, tumour may have been cur…

general surgerycolorectal surgerydiagnosticcommunication
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
NSW2016-07-15

Inquest into the death of Sheila Drysdale

75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …

A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: failure to cease anticoa…

plastic and reconstructive surgerygeriatric medicinemedicationproceduralaspirin
NSWhospital2018-12-04

Inquest into the death of June Nutter

58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…

June Nutter, a 58-year-old woman presenting with weight loss, anorexia, and unexplained shortness of breath, underwent gastroscopy and colonoscopy at a private ho…

anaesthesiagastroenterologymedicationproceduralfentanyl
QLDaged care2018-04-09

Enid Patricia Hiddle - Non-inquest findings

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

…e experienced multiple falls over 3.5 months in aged care, with rapid functional decline, dehydration, and weight loss. Hospitals requested urine dipstick tests in August and September 2016, but results were not properly…

general practiceemergency medicinediagnosticcommunication
NSWhospital2010-09-03

Woodcock 2011 06 14 12 49 10 862

Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…

One-month-old Liam Woodcock, born extremely prematurely at 27.5 weeks gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congeni…

neonatologyintensive caremedicationproceduralpropofol
WAhome2013-05-16

Inquest into the Death of Levissianos, Katina

55y · Female·Aspiration of Gastric Contents in Association with Gastric Necrosis in a patient…

A 55-year-old woman died of aspiration following gastric necrosis associated with a gastric band device inserted in 2008. She presented with vomiting and feeling unwell starting 31 October 2009, but never complained of p…

general surgerybariatric surgerycommunicationdiagnosticamoxicillin/clavulanate
VIC2011-10-20

Finding into death of Jeremy Edward Chandler

49y · Male·Acute blood loss from a single incised injury to left forearm

Jeremy Edward Chandler, a 49-year-old first-time prisoner, died by suicide in Melbourne Assessment Prison 36 hours after admission. He had been convicted of serious charges and remanded in custody pending sentencing. Des…

psychiatrycorrectional healthdiagnosticcommunication
NSWhospital2010-12-21

Coroner's Finding: Joan Dennison

78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…

…bstruction caused by abdominal adhesions from previous surgery. She had presented with vomiting, anorexia, weight loss, and x-ray findings showing multiple air-fluid levels and significantly dilated loops of bowel. The E…

emergency medicinegeneral surgerydiagnosticcommunicationmetoclopramide
ACTmental health2015-06-15

AN INQUEST INTO THE DEATH OF PETER ZOVAK

46y · Male·asphyxia by hanging

… brother Nedan called the mental health triage on 12 December reporting deterioration, hallucinations, and weight loss, the clinician (Gunasekera-Ranga) advised referral to a GP rather than arranging urgent CAT Team foll…

psychiatryemergency medicinediagnosticcommunicationcannabis
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