48 results for “chest x-ray (not performed)”
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…
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…
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…
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 …
35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…
A 35-year-old previously healthy male sustained blunt chest trauma during an assault. He presented to ED with chest pain but was triaged as category 4. After collapse…
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…
71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges
…d man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical deterioration w…
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…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
…ged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial infarctio…
1y · Female·Dilated cardiomyopathy
…al diagnosis not reconsidered despite lethargy unusual for croup and lack of typical diurnal variation; no chest X-ray obtained when persistent tachypnoea should have prompted imaging. Earlier diagnosis with chest X-ray…
30y · Male·Acute cardiac failure in association with severe ischaemic heart disease seconda…
A 30-year-old Afghan asylum seeker died from acute cardiac failure due to severe coronary atherosclerosis while in immigration detention. He had developed a large anteroseptal myocardial infarction between 4-18 August 20…
48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …
… the new catheter in the right atrium. A junior doctor was advised by a senior registrar that checking via X-ray was unnecessary, based on one research article. The misplaced catheter went undetected for 27 hours. An ea…
22y · Female·staphylococcal septicaemia and pneumonia complicating osteomyelitis of a right 1…
…She was detained in police custody on unpaid fines and presented twice to hospital on 2-3 August 2014 with chest pain. Both doctors discharged her, diagnosing 'behavioural issues' rather than recognising signs of infect…
76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…
…ECG showing atrial fibrillation performed evening before death not communicated to treating physician; (6) chest x-ray findings not reviewed. Patient deteriorated post-operatively with hypoxia but lacked intensive monit…
59y · Male·disseminated carcinoma due to right lung carcinoma
… pneumonia symptoms and rapidly deteriorated despite appropriate antibiotic therapy and supportive care. A chest X-ray showed consolidation initially attributed to pneumonia; malignancy was suspected but could not be co…
94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…
A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…
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…
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