17 results for “metabolic dysfunction”
70y · Female·Multi-organ dysfunction complicating sepsis of unknown origin in setting of Alzh…
…ne Craig Morter, aged 70, with Down Syndrome and Alzheimer's dementia died from sepsis with multi-organ dysfunction of unknown origin. She collapsed at home on 9 May 2024 and was taken to hospital where investigations r…
<1y · Male·cardiogenic shock and neonatal encephalopathy
…ing before and during hypothermic neuroprotection therapy, failure to assess baseline cardiovascular and metabolic status before commencing cooling therapy, delayed treatment of metabolic acidosis, and incomplete coagul…
<1y · Female·Methylamphetamine toxicity
…lmonary haemorrhage, and severe acidosis was consistent with methylamphetamine toxicity-induced cardiac dysfunction or pulmonary hypertension. Resuscitation was attempted but unsuccessful. The clinical team could not ha…
64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…
…, COPD, and ischaemic/alcoholic cardiomyopathy. He presented to Royal Adelaide Hospital hypotensive with metabolic acidosis and was admitted to ICU. By 18 September, he wished to self-discharge against medical advice de…
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…
37y · Male·cardiac arrhythmia
…rted without documented clinical review, especially when prescribed differently from initial orders; (4) metabolic monitoring guidelines must be consistently applied with clear documentation when patients miss appointme…
68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…
…disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia, and metabolic derangement. Critical clinical lessons include: (1) documentation of prior splenectomy was absent despit…
43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…
… was clinically appropriate given her serious mental illness, and treating clinicians actively monitored metabolic effects. Mental health teams made repeated efforts to encourage physical health improvements (diet, exer…
78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…
Joan Dennison, aged 78, was discharged from Shellharbour Hospital emergency department on 16 November 2007 with a misdiagnosis of constipation, despite clinical and imaging features diagnostic of small bowel obstruction …
72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…
Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-mortem examination revealed fibrinous pericarditis (a known…
59y · Male·multiorgan failure complicating paracetamol toxicity
David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was r…
Unknown·Toxicity from intravenous caesium, DMSO, and other substances administered as pa…
…ientifically unproven, extremely dangerous, and caused or significantly accelerated their deaths through metabolic derangement, gastrointestinal hemorrhage, cardiac arrhythmia, and sepsis. Patients and families were mis…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
… hours. Despite escalation to high-dependency care and ED review, he deteriorated rapidly overnight with metabolic acidosis and renal failure. He was transferred to ICU at a tertiary hospital on day 2 but died from mult…
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…
<1y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia
Chloe Kellett was born at 39 weeks gestation after induction of labour for rupture of membranes and group B streptococcus positivity. She was delivered by forceps in theatre for a non-reassuring cardiotocogram (CTG) trac…
7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)
7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department. She presented with …
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…
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