138 results for “physical examination”
45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction
…ltiple medications known to cause constipation (chlorpromazine, olanzapine, benztropine, lamotrigine), no physical examination was performed during her 11-day admission and no bowel chart was implemented. Critical gaps i…
46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis
…to her acute psychotic illness. Staff recognised DVT risks and encouraged mobilisation, but comprehensive physical examination was hindered by her resistance. Elevated temperature and tachycardia on day 2-3 of admission …
31y · Male·undetermined
…ember were not escalated using standardised observation charts; (2) risk of staff violence prevented full physical examination; (3) escalation should have occurred when respiratory rate entered the 'Red Zone' requiring m…
34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…
…tive use, and borderline obesity. The coroner found that orthopaedic surgeon Mr Widjaja's pre-operative examination of her leg was inadequate—he examined through the bandage and back-slab rather than removing them for f…
51y · Female·Ischaemic heart disease
… valve damage requiring prosthetic replacement. She presented with an infected breast lesion but resisted physical examination due to severe aversion to touch during acute psychiatric crisis. Cardiology input was sought …
15y · Male·Hypoxic-ischaemic encephalopathy complicating cardiac arrest in the setting of b…
…ificate, he collapsed outside a doctor's clinic. Critical learning points: (1) the Vienna GP performed no physical examination before prescribing Lorazepam for travel anxiety, missing signs of serious illness; (2) staff …
58y · Male·coronary artery arteriosclerosis (natural causes)
…found clinical care appropriate: no psychiatric error was made in discharging him on 19 April; he refused physical assessment while agitated at BMHU, making examination unsafe; antipsychotic medications were necessary an…
7y · Female·streptococcus pneumoniae sepsis complicating retropharyngeal abscess
… death. Key failures were: no strategy discussion involving specialist child protection services before examination, lack of radiological imaging, and absence of education about shaken baby syndrome signs and investigat…
84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…
…and bipolar disorder, with poor medication compliance from 2018. He was non-compliant with care, refusing physical examination and vital sign checks in the hours before death. On the day of death, he complained of abdomi…
63y · Male·pulmonary emphysema
…lth treatment despite significant barriers including his poor insight, missed appointments, resistance to physical examination, and unreliable symptom reporting. His oxygen saturation and respiratory rates remained norma…
88y · Female·sepsis of unknown origin
…bly perforated bowel, diverticulitis, colitis, or ischaemic bowel). Clinical lesson: early recognition of physical illness in elderly patients with dementia and behavioural problems is challenging but critical. The patie…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
…e hypoxia and hypoxic brain injury. Key clinical challenges included severe non-compliance with medical examination, inability to communicate symptoms verbally, and reliance on behavioural observations for clinical asse…
53y · Male·bilateral pneumothorax due to motor vehicle accident
…ld not be definitively resolved because the vehicle was repaired rather than seized for proper forensic examination. The coroner found insufficient evidence to commit Bennett for trial but made strong recommendations ab…
82y · Male·Lateral left ventricular myocardial infarction attributed to severe left circumf…
…ad been given clonazepam before bed and placed in restraining straps for safety due to previous falls and physical agitation. He was found unresponsive approximately 3 hours later. Post-mortem examination confirmed death…
63y · Male·coronary artery thrombosis
…treating resident doctor and attributed to a known long-standing complication of previous oesophagectomy. Physical examination was reassuring, blood work was normal, and leave was granted progressively. The coroner found…
25y · Male·coronary thrombosis resulting from coronary atherosclerosis
…ed and died one hour after a consultation at an Aboriginal health clinic. The coroner found the medical examination by Dr M. was inadequate and cursory. The deceased presented with chest pain, tingling in arms, and numb…
45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis
… myocardial fibrosis. Critical issue was inadequate visual observations overnight—the patient had refused physical examination and blood tests on admission. Observations at 7:15-7:25am suggested he was sleeping and breat…
52y · Female·Hanging due to depression
…le given the need to balance therapeutic care with safety, the case highlights the critical importance of physical monitoring of mental health unit exits. Her selective disclosure of symptoms to clinicians, her history o…
89y · Female·Pulmonary embolism due to deep venous thrombosis
…fall with hip pain, mobility loss, and inability to weight bear. The coroner was critical of her detailed physical examination account, delivered only at the fresh inquest, finding it 'recent invention'. A timely X-ray w…
55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…
… reported to the coroner at the time despite the deceased being a person in care, no forensic pathology examination was performed, and integrated medical-psychiatric management of patients with concurrent severe mental …
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