258 results for “chest X-ray”
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
…ation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute back and chest pain (8/10). A chest X-ray revealed widened mediastinum. She was admitted to CCU under cardiologist Dr G..…
34y · Male·multi-organ failure with right-sided tension pneumothorax
…d spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admission despite clear indicators of …
40y · Male·haemopericardium complicating ascending thoracic aortic dissection
A 40-year-old man presented to the Northern Hospital ED with acute chest pain radiating to his throat, diaphoresis, and left hand tingling. Initial assessment by a junior doctor a…
45y · Female·hypoxic brain injury following hemopneumothorax resulting from a stab wound to t…
…iginal woman stabbed in October 2004, discharged from hospital after initial stab wound assessment without chest X-ray or admission for observation. Wound to posterior chest was explored and stitched by Dr W. but pneumo…
60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…
…nd administered heparin, which exacerbated bleeding. This misdiagnosis delayed appropriate intervention. A chest X-ray performed 55 minutes after collapse revealed haemothorax; emergency drainage achieved initial improv…
34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm
A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both tim…
1y · Female·sudden cardiac death on a background of rhinovirus infection
…pitated by rhinovirus infection. Clinical lessons include: (1) recognising that pulmonary consolidation on chest X-ray can indicate cardiac pathology with fluid overload, not just infection; (2) interpreting abnormal vi…
18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…
…epatitis on 31 May but did not recognise the underlying cardiac deterioration. Cardiologists agreed that a chest X-ray, ECG and echocardiogram ordered by 28 May when coarse lung crepitations were noted would have reveal…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
Assunta Petroccia, a 26-year-old woman, died from cardiorespiratory arrest due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrec…
89y · Female·Aspiration pneumonia complicating electroconvulsive therapy for treatment of psy…
…st opinion was documented despite guidelines recommending this for complex cases, and (2) no pre-procedure chest X-ray was performed. The coroner could not find these omissions would have prevented her death or changed …
44y · Male·Metastatic small cell neuroendocrine carcinoma of lung
…ate parole. He had presented to PAH emergency department on 28 September 2010 with respiratory symptoms. A chest x-ray that day revealed a mediastinal density reported by radiology as possibly requiring CT investigation…
91y · Female·Complications of pelvic fractures sustained in a fall
…idities sustained pelvic fractures in a mechanical fall at home. She presented to the ED where initial hip x-ray showed no fracture. She deteriorated with hypotension and was treated with antibiotics for presumed pneumo…
55y · Male·ruptured dissection of the thoracic aorta
…upture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 November 2010 and was transferred to Swan Districts Hospital wh…
63y · Male·Metastatic carcinoma of the lung
…on 23 March 2008 was addressed only by telephone consultation rather than face-to-face examination, and no chest X-ray was ordered despite persistent respiratory symptoms and antibiotic relapse. While earlier diagnosis …
55y · Male·Community acquired pneumonia in a man with Down Syndrome
… King, a 55-year-old man with Down syndrome, intellectual disability, asthma, bronchiectasis and recurrent chest infections, died from community-acquired pneumonia. He was treated by his general practitioner on 29 March…
70y · Male·carcinoma of the lung
…m December 2016 onwards, significant red flags—including haemoptysis, weight loss (>9kg), tachycardia, and chest pain—were not recognized by nursing staff or escalated appropriately. When finally referred to hospital in…
29y · Male·Florid myocarditis
…myocarditis with pleural effusion. Expert evidence established that appropriate investigation with ECG and chest X-ray would likely have detected the condition and led to hospital admission. Key clinical lessons: syncop…
36y · Male·T-Lymphoblastic Leukaemia/Lymphoma (T-ALL)
…n September, persistent coughing prompted telehealth consultation and antibiotics, but symptoms continued. Chest X-ray revealed pleural effusion, leading to hospital referral and leukaemia diagnosis. Given his severe in…
56y · Male·coronary atherosclerosis
…P on 17 and 21 February 2020 with respiratory symptoms (cough, shortness of breath, fever) attributed to a chest infection. Critical clinical lesson: Roberts had multiple uncontrolled cardiovascular risk factors (hypert…
38y · Male·metastatic lung carcinoma
…ht loss, poor appetite, and a persistent cough. Despite multiple medical consultations and investigations (X-rays, CT scans), imaging focused on musculoskeletal pathology and missed the underlying malignancy. When sent …
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