60y · Female·Complications of urinary tract disease in the setting of COVID pneumonitis on th…
…l with COVID pneumonitis, pre-renal renal failure, and a kidney stone causing ureteric obstruction and hydronephrosis. Urology deemed her unsuitable for surgical intervention due to poor health status. She was transferre…
72y · Male·metastatic prostate carcinoma
Timothy Moffatt, a 72-year-old man in prison custody, died from metastatic prostate cancer. He had declined cancer treatment from 2014-2018 but agreed to chemotherapy after metastatic disease was identified. He also had …
0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…
An 11-month-old boy with undiagnosed posterior urethral valves and hydronephrosis presented with fever, respiratory distress, and lethargy over three days. He was assessed by multiple …
76y · Male·Complications of metastatic renal cancer in a man with multiple medical co-morbi…
A 76-year-old man with metastatic renal cancer and multiple comorbidities died in prison from complications of his malignancy. Following a family meeting in November 2023, goals of care were clarified and the patient cho…
82y · Female·acute pyelonephritis complicating base of bladder malignancy
Joyce Binch, 82, died of acute pyelonephritis from bladder malignancy while detained under mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of…
59y · Female·Pneumonia
Tamara Kudeviita, a 59-year-old woman with Down's syndrome and advanced Alzheimer's disease, died of pneumonia in a palliative care unit. She had been declining throughout 2022, with loss of swallowing ability, mobility,…
56y · Female·Complications of cervical cancer
Kerry Forrest, aged 56, died in custody on 26 January 2016 from complications of advanced cervical cancer. She was serving a 25-year sentence after being diagnosed with terminal cervical cancer in 2012, prior to sentenci…
55y · Male·Septicaemia due to hydronephrosis and infection
A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…
69y · Female·subdural haematoma
A 69-year-old woman sustained a head injury from a witnessed fall, striking her head on a brick wall. She lost consciousness, experienced headache, vision problems and vomiting. CT imaging at the emergency department mis…
29y · Male·severe neonatal encephalopathy, post palliative care; possible underlying cause:…
A 29-day-old neonate died from severe neonatal encephalopathy following birth asphyxia. The infant was born after prolonged induction and protracted second-stage labour at Lyell McEwin Hospital, followed by instrumental …
72y · Male·Metastatic bladder cancer; likely mechanism pulmonary embolism from combined eff…
A 72-year-old male underwent hip replacement despite undiagnosed metastatic bladder cancer. Following referral from his GP in May 2014 for an ultrasound showing bladder wall irregularities suspicious for cancer, urologis…
58y · Male·complications of large bowel pseudo-obstruction
Paul Desmond Smith, aged 58, died from complications of large bowel pseudo-obstruction following discharge from hospital after inadequate assessment. He had presented to the ED with lower abdominal pain and severe faecal…
76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…
Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…
71y · Female·complications of metastatic endometrial carcinoma, treated palliatively
Corazon Contreras Keeley, a 71-year-old woman with postmenopausal bleeding, was investigated for possible endometrial cancer. Dr K. performed a hysteroscopy with dilation and curettage (HDC) on 29 November 2019, observin…
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