49y · Female·Widespread small and large bowel, splenic and hepatic infarction secondary to se…
…ction secondary to severe aortic atherosclerosis causing critical stenosis of the superior mesenteric and coeliac arteries. She presented to the ED with months of abdominal pain, weight loss and diarrhoea, initially sus…
71y · Female·Aspiration pneumonia complicating dysphagia and status epilepticus
Ann Williams, a 71-year-old woman with severe intellectual disability and chronic dysphagia, died of aspiration pneumonia complicated by status epilepticus while residing in specialist disability accommodation. She prese…
58y · Male·Pneumonia and urosepsis in a man with multiple comorbidities including Down synd…
Alan James Drake, 58-year-old man with Down syndrome and multiple comorbidities, died of pneumonia and urosepsis. He presented to his GP on 16 July with suspected urinary tract infection, treated with oral antibiotics as…
64y · Female·acute bronchopneumonia complicating Alzheimer's dementia with head injury
A 64-year-old woman with advanced Alzheimer's dementia died from acute bronchopneumonia following a head injury sustained in an unwitnessed fall. She was under a guardianship order with special powers at the time. Follow…
31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…
Cameron Yeates, a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe…
85y · Female·general inanition on a background of vascular dementia and a recent right neck o…
An 85-year-old woman with vascular dementia, congestive cardiac failure, and atrial fibrillation sustained a right neck of femur fracture from a fall at her aged care facility on 5 August 2020, despite being on a sensor …
77y · Male·Complications of Metastatic Colorectal Carcinoma
Robert Fennell, a 77-year-old man serving an 18-year prison sentence, died of complications from metastatic colorectal carcinoma in Long Bay Correctional Hospital's Medical Sub-Acute Unit on 27 October 2020. He had an ex…
96y · Female·Decompensated frailty syndrome following right femoral neck fracture from fall
Margaret Wood, a 96-year-old resident of St Ann's aged care facility, died from decompensated frailty syndrome following a fall that resulted in a right femoral neck fracture. She was a frail elderly woman with multiple …
58y · Female·undetermined; possible mixed drug intoxication and/or adrenal insufficiency
Jennifer May Tilley, aged 58, died on 8 January 2018 with an undetermined cause, though mixed drug intoxication and adrenal insufficiency were potential contributors. She had complex medical conditions requiring chronic …
47y · Female·hypoxic encephalopathy and aspiration pneumonia following aspiration of gastric …
Jodie Ann Pearson, aged 47, died from hypoxic encephalopathy and aspiration pneumonia following aspiration of gastric contents during a gastroscopy at Belmont Hospital on 15 February 2016. Critical pre-procedure informat…
15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa
Olivia Evans, 15, died from paracetamol toxicity in the setting of anorexia nervosa after intentionally overdosing. She had 38 inpatient admissions over two years with escalating food refusal, self-harm, and suicidal beh…
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