9 results for “chest auscultation”
54y · Male·Pneumonia due to Staphylococcus aureus
…Key clinical concerns include: inadequate documentation of nursing assessments; two nurses auscultated his chest on day 3 with conflicting findings (crackles vs clear), but this was not escalated to medical review; vita…
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…
86y · Male·Left haemothorax complicating rib fractures (not operated), sustained in a fall
… to adequately assess his back pain. Rib fractures went undiagnosed despite being the critical injury. The chest x-ray had low sensitivity for fractures. Additionally, an ED clinician erroneously prescribed 100mg therap…
20y · Male·Group A streptococcus pneumonia (invasive Group A Streptococcus infection of the…
…resolved), reduced oral intake, constipation, and a blanching rash. He was afebrile, had clear lungs on auscultation, and was diagnosed with otitis media and constipation. Amoxicillin was prescribed with safety-netting a…
0y · Male·Respiratory insufficiency; interstitial fibrosis and low-grade pneumonitis of pr…
…llness. A forensic paediatrician opined that pneumonitis was likely developing during this period and that chest examination may have revealed abnormalities, particularly in the final week of life. Multiple medical cons…
3y · Female·Hypoxic-ischaemic encephalopathy due to chorioamnionitis due to Gardnerella Vagi…
Zamia Ely-Smith died at 3 days of age from hypoxic-ischaemic encephalopathy due to chorioamnionitis following home birth at term. Clinical lessons include: (1) decreased fetal movements at 39+ weeks gestation and hospita…
0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…
…psis and decompensation. The ED diagnosis of bronchiolitis was inappropriate; examination findings (normal chest auscultation, fever, lethargy, respiratory distress) were inconsistent with primary respiratory infection.…
0y · Female·Sepsis
Baby Lily Irwin died of sepsis caused by ascending bacterial infection (Staphylococcus aureus) that developed after spontaneous rupture of maternal membranes 48 hours prior to delivery. The infection caused chorioamnioni…
28y · Male·MRSA sepsis
…ially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including chest pain and facial cellulitis. Nursing assessments on 13-14 June were considered adequate at the time, though…
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