Coronial

129 results for renal impairment

VIChospital2011-07-12

Finding into death of Hugh McKay

Male·Cerebrovascular accident and renal impairment

Hugh McKay, a patient at Stawell Hospital, died from cerebrovascular accident with renal impairment as contributing factors. The coroner's finding documents the death but provides limited detail …

neurologynephrology
SAaged care2025-09-11

Coroner's Finding: Glenn, Millicent

89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…

An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract in…

general practicegeriatric medicinemedicationdiagnosticgentamicin
VIChospital2019-09-06

Finding into death of David John Farlech

48y · Male·Dilated cardiomyopathy with contributing factor of acute renal impairment

…s Syndrome and intellectual disability living in a group home, died from dilated cardiomyopathy with acute renal impairment. He presented with chest, rib cage and abdominal pain on 5 October 2018, was assessed by multip…

general practicecardiologyhyoscine butylbromide
VICcommunity2011-06-17

Finding into death of Drew Aaron Boaler

39y · Male·COMPLICATIONS OF CHRONIC RENAL FAILURE

…ron Boaler, a 39-year-old man with severe intellectual disability, epilepsy, bipolar disorder, and chronic renal failure, died from complications of his renal disease while on an outing. He had presumed lithium-induced …

general practiceneurologylithium
VIChospital2021-02-25

Finding into death of Laurence Joseph Kermond

65y · Male·Complications of end stage renal failure in a man with multiple co-morbidities

Mr Kermond, a 65-year-old man with intellectual disability, visual and hearing impairment living in a group home, was admitted to Lyndoch Living for respite care on 25 July 2019. He had end-stag…

general practicenephrology
NSWhospital2020-02-12

Inquest into the death of Francis Sawle

82y · Male·Acute myocardial infarction caused by ischaemic heart disease

…Prince of Wales Hospital. He had significant comorbidities including severe triple vessel disease, chronic renal impairment, interstitial lung disease, and Alzheimer's disease. An Advanced Care Directive establishing a …

cardiologypalliative careperindopril
VIChospital

Finding into death of Sydney Hugh Kennedy

66y · Male·Complications of chronic lithium therapy

…city despite clinical deterioration from June 2012 onwards. Key failures included: (1) no dose review when renal impairment was documented in August 2012; (2) failure to link his presentation (weight loss, falls, tremor…

psychiatrygeneral practicediagnosticcommunicationlithium
VIChospital2014-11-27

Finding into death of Eric Horace Julien

86y · Male·Acute on chronic renal failure secondary to rhabdomyolysis as a consequence of d…

An 86-year-old man with chronic renal impairment (eGFR 37) died from acute-on-chronic renal failure secondary to rhabdomyolysis caused by a cont…

general practiceemergency medicinemedicationdiagnosticsimvastatin
VIChospital2014-09-12

Finding into death of Nola Margaret Moxon

77y · Female·Venlafaxine toxicity in a woman with severe renal impairment and depression

…oman admitted to psychiatric ward with severe depression and catatonic features. Despite documented severe renal impairment and dehydration on admission, no medical review occurred over the weekend prior to ECT. Critica…

psychiatrygeriatric medicinecommunicationsystemvenlafaxine
VICaged care2011-04-15

Finding into death of KEVIN FRANCIS HAM

63y · Male·coronary artery atherosclerosis (coronary artery disease in a man with renal imp…

Kevin Francis Ham, 63-year-old man with intellectual disability, was a long-term resident of the E W Tipping Department of Human Services residential care facility in Reservoir, Victoria. On the morning of 27 July 2010, …

forensic medicinedisability medicine
VIChospital2018-02-19

Finding into death of Margaret Ann Yeomans

79y · Female·Rhabdomyolysis in a woman with multiple myeloma and renal impairment

Margaret Ann Yeomans, aged 79, died from rhabdomyolysis in the context of multiple myeloma and chronic renal impairment. A critical medication error occurred when rosuvastatin 40mg was dispensed instead of her presc…

haematologynephrologymedicationcommunicationrosuvastatin
VIChospital2010-03-17

Finding into death of Sharon Ann Looby

49y · Female·Multi organ failure and Pneumonia

…ptoms of malaise, sweats, cough and bloating. Her general practitioner arranged blood tests which revealed renal impairment and liver inflammation on 17 April 2009. She was appropriately admitted to hospital for further…

general practiceemergency medicine
VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

…nt Order. Post-mortem examination revealed elevated urea and creatinine consistent with dehydration and/or renal impairment. He had a documented prolonged QT interval on previous ECGs and multiple prior hospital admissi…

psychiatryemergency medicinerisperidone
VIC2011-08-25

Finding into death of Henry Portelli

76y · Male·Cardiac arrest due to cardiomegaly, myocardial fibrosis and ischaemic coronary a…

…ural heart disease sufficient to cause spontaneous lethal arrhythmia. He had comorbidities of diabetes and renal impairment. The coroner found no acute ischaemic changes on myocardial examination. Key clinical lesson: p…

cardiologycorrectional health
VIC2012-01-23

Finding into death of Patrica June Andrew

73y · Female·end stage renal failure

Patricia Andrew, a 73-year-old woman with Down syndrome, end-stage renal failure, type 2 diabetes, and intellectual disability, was resident in a Department of Human Services comm…

palliative carenephrology
TAShospital2022-11-16

Coroner's Finding: Phillips, William Garnett

82y · Male·bronchopneumonia

… to hospital only after police involvement was threatened. During admission, he developed urosepsis, acute renal impairment, and complications from a superficial stab wound sustained at home. He deteriorated progressive…

general practiceemergency medicinedelay
VIChospital2012-10-24

Finding into death of Nicola Spina

63y · Male·End stage ischaemic cardiomyopathy and chronic renal impairment

…63-year-old male prisoner at Port Phillip Prison, died from end-stage ischaemic cardiomyopathy and chronic renal impairment on 17 July 2010. He presented to St Vincent's Hospital on 6 July 2010 with acute pulmonary oede…

emergency medicineintensive careoxycodone
TASaged care2017-05-08

Coroner's Finding: Handasyde, Robert Neil

86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…

…ing IV antibiotics and hospital admission), and excessive opioid dosing causing toxicity in a patient with renal impairment. The nursing home should have escalated to hospital when the GP failed to attend on 19 June des…

general practicecardiologydiagnosticmedicationclopidogrel
VIChospital2016-08-25

Finding into death of Robert Kingsley Whitehead

84y · Male·Complications of gout and old spinal injury, cause unknown

An 84-year-old male prisoner with multiple comorbidities (gout, spinal cord injury, renal impairment, cardiac failure) presented with chest infection, abdominal pain, and urinary retention. He was…

haematologyinfectious diseasesmirtazapine
VICaged care2021-05-24

Finding into death of Julie-Anne Marie Kettle

56y · Female·Bronchopneumonia in the setting of supratherapeutic lithium levels

…usea, poor appetite), her lithium level was not rechecked between December 2017 and early March 2018. When renal impairment and high lithium levels were finally identified on 2 March 2018, she was appropriately admitted…

general practicepsychiatrydiagnosticdelaylithium

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