16 results for “acute psychiatric decompensation”
36y · Male·Gunshot wound to chest
Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself mul…
62y · Male·drowning
…une 2016 after a rapid deterioration in mental health. He had a long history of depression but experienced acute decompensation with paranoid delusions in the weeks before death, triggered by a petrol spill incident. Fo…
45y · Male·sepsis with infective endocarditis, right lobar pneumonia (with abscess formatio…
… causes and that police, hospital, and ambulance actions were appropriate. Clinical lesson: recognition of acute decompensation in medically complex patients with psychiatric comorbidity and the importance of appropriat…
41y · Male·Pheniramine toxicity
…drug toxicity. Clinical lessons include: the diagnostic difficulty in distinguishing drug toxicity from psychiatric illness or intoxication in acute presentations; the importance of comprehensive medication history and …
82y · Female·sepsis with septic shock due to ascending cholangitis
…rom sepsis with septic shock due to ascending cholangitis. She had gallstones identified on MRCP during psychiatric admission but was deemed high-risk for elective cholecystectomy and discharged without symptoms. She pr…
89y · Female·acute renal failure with severe electrolyte disturbance due to sigmoid volvulus …
An 89-year-old woman with severe vascular dementia died from acute renal failure due to sigmoid volvulus while detained under the Mental Health Act. She was admitted to hosp…
59y · Female·Toxicity to quetiapine
59-year-old woman with long-standing psychiatric illness, chronic suicidal ideation, and dependent personality disorder was admitted involuntarily to a …
39y · Male·Complications arising from widely disseminated primary pulmonary small cell carc…
… complications of widely disseminated small cell lung cancer with hepatitis C cirrhosis. He presented with acute psychosis and catatonia in December 2018, receiving appropriate psychiatric care including ECT. During sub…
34y · Male·cardiomegaly with contributing aspiration
… monitoring; the presentation of shortness of breath, sweating, and tachycardia warranted consideration of acute cardiac or respiratory decompensation; and patients with observed apnoeic episodes in acute settings requi…
51y · Male·unascertained; presumed sudden cardiac arrhythmia
…51-year-old man with schizoaffective disorder, died from an unascertained cause while under involuntary psychiatric care. He presented with acute behavioural changes including excessive drinking, unusual fluid/milk cons…
64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…
QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessm…
41y · Male·Incised injury to the neck
…cos-Vazquez, a 41-year-old man with a history of depression, was killed by a boardhouse resident with a psychiatric history. The resident had been discharged from a Community Treatment Order (CTO) on 27 October 2010 and…
84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…
…causes. No clinical errors or preventable factors were identified. The case highlights challenges managing acute psychiatric decompensation in elderly patients with severe comorbidities and the importance of mental heal…
58y · Male·Hypoxic encephalopathy secondary to cardiac arrest due to cardiomegaly
Robert John Viner, a 58-year-old man with long-standing schizoaffective disorder, was detained under the Mental Health Act on 28 July 2006 following erratic behaviour and aggression towards family and his GP. He was admi…
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
…uctive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensation and received sedation (haloperidol and clonazepam) for agitation. He was observ…
39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor
… importance of contacting next of kin when patients with mental illness are admitted, and recognising that acute medical decompensation may occur in patients with multiple comorbidities including active substance use.
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