Coronial

24 results for oesophagitis

VIChome2026-07-30

Finding into death of PSD

66y · Female·Acute oesophagitis complicated by gastrointestinal haemorrhage

A 66-year-old woman with cerebral palsy, dysphagia, and chronic reflux oesophagitis presented with acute gastrointestinal bleeding while in supported disability accommodation. She was tre…

emergency medicinegastroenterology
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resistant epilepsy from meningococcal infection at 5 …

general practicegastroenterologymorphine
VIChospital2013-05-09

Finding into death of Argyrios Carras

38y · Male·Aspiration pneumonia in the setting of cerebral palsy

Argyrios Carras, a 38-year-old man with cerebral palsy, intellectual disability, scoliosis and oesophagitis, died from aspiration pneumonia. He was dependent on PEG feeding and had a history of recurrent respira…

respiratory medicineinfectious diseasesdiazepam
VICcommunity2011-03-17

Finding into death of Stuart Judd

39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …

… V. with chest pain on exertion (cycling, chopping wood) and arm heaviness. The doctor diagnosed reflux oesophagitis, ordered ECG and troponin testing (both normal at 3.5 hours post-symptom onset), and prescribed Losec. …

general practicecardiologydiagnosticdelayomeprazole
VIChome2026-03-25

Finding into death of Ian Robert Cameron

73y · Male·Complications of pyelonephritis and hepatocellular carcinoma in a man with epile…

Ian Robert Cameron, a 73-year-old man with multiple disabilities including motor neuron disease, epilepsy, and intellectual disability, died at home in specialist disability accommodation from complications of pyelonephr…

phenytoin
WAhospital2005-03

Inquest into the Death of Bert Sharpe

58y · Male·Gastrointestinal haemorrhage due to erosive gastritis

Bert Sharpe, aged 58, died from gastrointestinal haemorrhage due to erosive gastritis at Sir Charles Gairdner Hospital on 19 April 2004. He had been an involuntary psychiatric patient at Graylands Hospital since 1992, fo…

psychiatrygeneral surgery
TAShospital2021-08-20

Coroner's Finding: LA

67y · Male·acute gastrointestinal haemorrhage complicating peptic ulcer of the duodenum wit…

… pump inhibitor (Esomeprazole) charting failed from 6 August onwards despite the patient's known reflux oesophagitis and pre-admission use of Rabeprazole; multiple practitioners failed to recognize this omission; (3) Pos…

general surgeryintensive carediagnosticmedicationrabeprazole
SAaged care2008-06-06

Coroner's Finding: MANN Richard Lesley

45y · Male·choking on food

Richard Mann, a 45-year-old man with intellectual disability and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and mon…

psychiatrygeneral practicemedicationcommunicationhaloperidol
VIChospital2024-10-24

Finding into death of Tamara Kudeviita

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,…

palliative caregeneral practicemidazolam
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

Ernest Charles Willetts, 80, died from aspiration pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoo…

surgerygastroenterologycommunicationsystempariet
VICmental health2011-03-31

Finding into death of Diane Young

72y · Female·Bronchopneumonia

Diane Young, a 72-year-old psychiatric resident with multiple comorbidities including asthma, aortic stenosis, and intellectual disability, died of bronchopneumonia with contributing ischaemic heart disease. She was seen…

geriatric medicinepsychiatry
VICaged care2022-10-27

Finding into death of Gary William Kennedy

71y · Male·Sudden death in a man with chronic aspiration pneumonia, COVID-19 infection, sch…

Gary Kennedy, a 71-year-old man with Parkinson's disease, schizophrenia, and seizure disorder living in a disability care facility, died from sudden death associated with chronic aspiration pneumonia and concurrent COVID…

geriatric medicinerespiratory medicinebenzotropine
VIChospital2022-02-28

Finding into death of Stephen David Johnston

64y · Male·Aspiration pneumonia with cerebral palsy as a contributing factor

A 64-year-old man with cerebral palsy, intellectual disability, dysphagia, and recurrent respiratory infections died of aspiration pneumonia. He was receiving disability support services through Melba Support Services. I…

general practicepalliative caresystem
TAShome2022-10-31

Coroner's Finding: Lampkin, Christopher Maxwell

57y · Male·hanging

Christopher Maxwell Lampkin, a 57-year-old man with longstanding depression and alcohol dependence, died by hanging in July 2021. He had been treated for depression since 2009 and had attended an alcohol and drugs servic…

general practicepsychiatryantidepressant
WAhospital2025-02-21

Inquest into the Death of Fabian Alec COFFIN

51y · Male·complications of myocardial infarction in association with ischaemic heart disea…

A 51-year-old Aboriginal male prisoner with multiple cardiovascular risk factors (diabetes, hypertension, high cholesterol, chronic kidney disease, obesity, smoking) died on 5 February 2024 from myocardial infarction. He…

cardiologycorrectional health
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

Christopher Hollens, a 44-year-old man with chronic schizophrenia, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia after a 15-day admission to Royal Adelaide Hospital. He was trans…

psychiatrygeneral medicinephenytoin
VIChospital2018-07-26

Finding into death of Maurice Benedict Costello

89y · Male·Complications of choking on a food bolus in a man with multiple medical comorbid…

Maurice Benedict Costello, 89, died from aspiration of a food bolus while eating on a geriatric ward three days after a fall. He had documented oropharyngeal dysphagia requiring supervision during oral intake. Speech pat…

geriatric medicinespeech pathologycommunicationsystem
NSWhospital2023-09-13

Inquest into the death of Jeffrey Blundell

44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…

Jeffrey Blundell, a 44-year-old man with severe intravenous drug use history, died from cardiogenic shock secondary to severe tricuspid valve regurgitation caused by infective endocarditis from non-sterile injection prac…

cardiothoracic surgerycardiologyhydromorphone
WAcommunity2015-10-06

Inquest into the Death of Michael Joseph BOTTOMLEY

53y · Male·Multiple injuries from being run over by a waste removal truck

Michael Joseph Bottomley, a 53-year-old man with chronic alcohol dependency, depression, diabetes, and hepatitis C, was fatally struck by a waste removal truck in a Perth laneway at 11:55 pm on 3 May 2012. Earlier that e…

mirtazapine
QLDhospital2024-10-18

Findings into the death of John Ainsworth

68y · Male·Cerebrovascular disease

John Raymond Ainsworth, a 68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol. Prior to his a…

neurologyemergency medicinedelaymetformin

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