105 results for “blood investigations”
52y · Male·atherosclerotic and hypertensive heart disease
…packets daily), obesity (BMI 31.4), sedentary lifestyle, and refused preventive health screening including blood pressure monitoring, cholesterol and lipid testing, and ECGs. His mental health team appropriately maintai…
65y · Male·metastatic rectal cancer with extensive lung metastases
… sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood test in March 2015 recommending colonoscopy. However, he subsequently declined multiple colonoscopy offers…
34y · Male·cerebral destruction and fractured skull sustained in motor vehicle accident wit…
…son, sustained a head laceration. The critical medical-legal issue concerned a police request for Hudson's blood sample to investigate potential drink-driving; hospital medical staff (Dr G., surgical registrar) refused …
40y · Male·Acute methylamphetamine toxicity
…y with suspected drug ingestion. On both occasions, assessment included appropriate observations, ECG, and blood tests, all normal. After 6+ hours observation on first admission, he was appropriately discharged with cle…
64y · Male·Ischaemic bowel and spleen infarction secondary to occlusion of splenic artery a…
…enteric arteries during laparoscopic nephrectomy for renal cell carcinoma. The surgeon misidentified major blood vessels in the setting of extensive fibrotic tissue around the kidney. Although the surgeon converted to o…
74y · Male·small intestinal ischaemia caused by aortic atherosclerosis
…mmatory markers consistent with sepsis within hours of admission. Despite clear warning signs and abnormal blood tests indicating infection and organ dysfunction, a MET call was not made for 18 hours. The underlying isc…
35y · Male·Disseminated Lymphoblastic Lymphoma
…r J.' actions not unreasonable given the rarity and aggressiveness of the lymphoma, but noted that broader blood testing and imaging on 1 May, standard in general practice, may have aided diagnosis. Earlier diagnosis wo…
62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…
…cardiogenic shock during elective total laparoscopic hysterectomy for an endometrial polyp. Intraoperative blood loss was 2000-2500mls (far exceeding typical 150-200mls). Critical gaps included: surgery commenced withou…
Unknown·Multiple traumatic injuries due to motor vehicle collision
…s the driver, contradicting the family's assertion that Abigail was driving. Key findings included Brett's blood alcohol concentration of 0.129%, occupant seating positions established through body evidence and injuries…
29y · Male·Florid myocarditis
… clinical lessons: syncope is concerning and mandates cardiac evaluation; young patients with fatigue, low blood pressure, and syncope require careful differential diagnosis including cardiac causes; chest auscultation …
42y · Male·Blunt force head and chest injuries caused by a traffic crash where he was the d…
…iving for a further 5 kilometres, unaware police had disengaged, before rolling the vehicle at high speed. Blood alcohol was 0.28% and he was not wearing a seatbelt. The coroner found police actions were reasonable and …
69y · Female·multi-organ failure due to sepsis of unknown origin
…ural hospital on 28 June 2012 with vomiting, dehydration, and early renal failure. Despite appropriate investigations ordered by her GP and attempted transfer to a tertiary facility, she deteriorated and died 7 days late…
81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…
…closer monitoring of deterioration might have altered outcomes, though his severe dementia, refusal of investigations, and cardiac comorbidities complicated management.
Male·injuries sustained in a motor vehicle incident involving excessive speed on a be…
… at excessive speed on a bend, rolled multiple times, and came to rest on an embankment. Schibrowski had a blood alcohol level of 0.287% and was taking antidepressants (Oxazepam and Clomipramine), which in combination w…
21y · Male·dilated cardiomyopathy
…er 2008. Dr G. identified clinical signs concerning for cardiac disease (tachycardia, finger clubbing, low blood pressure) but delayed investigations until Monday. Dean deteriorated and attended ED on 7 September, where…
38y · Male·Single stab wound to the chest (cause inflicted by person unknown)
…pport, and highlights the importance of obtaining complete initial witness statements in serious crime investigations.
25y · Female·acute haemorrhage due to severed femoral artery caused by a stab wound to the th…
…evidence, including initial witness statements indicating stabbing and video footage showing the wound and blood loss. A key suspect was released from custody prematurely without completing investigations. An irrational…
48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…
…of hepatitis C, cirrhosis, thrombocytopenia, and anaemia. Clinical warning signs were present: he reported blood in stool in 2016 and black stools in 2018, both concerning for gastrointestinal bleeding. In August 2019, …
69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…
…iting. The doctor did not take adequate history, perform thorough physical examination, or order basic investigations including blood tests or abdominal X-ray. She was discharged after 2 hours 40 minutes without diagnosi…
<1y · Male·Perinatal asphyxia leading to cerebral anoxia and subsequent multi-organ failure
…old. Critical clinical lessons emerged regarding neonatal assessment: persistently pale newborns with cord blood pH 7.02 and hypothermia require investigation for anaemia and foetal-maternal haemorrhage, and repeat bloo…
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