60y · Male·ischaemic heart disease due to severe single vessel atherosclerosis
… suffering a heart attack while driving, which caused a motor vehicle collision. Two to three weeks after shoulder surgery, he developed chest pain and left arm pain. He consulted his GP on 30 October 2017 reporting ches…
38y · Male·ischaemic heart disease due to severe coronary atherosclerosis
… Remand Centre from ischaemic heart disease due to severe coronary atherosclerosis. He complained of left shoulder pain (a recognised symptom of cardiac disease) to cellmate and de facto partner from April 2005 onwards, …
48y · Male·sepsis and renal failure due to perforated gastric ulcer
…chizo-affective disorder presented to West Coast District Hospital on 20 October 2014 with severe abdominal pain radiating to the right shoulder tip, generalised tenderness, and a pain rating of 8/10. Clinical observatio…
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. …
58y · Male·coronary atherosclerosis
…r (whipper snipping) at a banana plantation within Palen Creek Correctional Centre. He complained of left shoulder pain, which was likely referred cardiac pain, then collapsed. Bystander CPR was initiated immediately and…
39y · Male·acute myocardial ischaemia, coronary artery thrombosis and coronary artery ather…
…rison custody. On 6 August 2017, he presented to the medical clinic with what prisoners identified as chest pain, but staff interpreted as throat or shoulder complaints. Communication difficulties due to his deafness lik…
10y · Male·Septic arthritis of the left shoulder with acute heart failure resulting from to…
Sebastian Barry Davis, aged 10, died from septic arthritis of the left shoulder resulting in acute heart failure. He had congenital sensory neuropathy with anhidrosis from birth, causin…
24y · Male·Mixed drug toxicity
…from mixed drug toxicity after staying overnight at a backpackers hostel. He had a history of anxiety and shoulder pain following 2015 surgery, for which he received multiple medications including pregabalin, benzodiazep…
Tate Spencer-Koch: intrapartum hypoxia due to shoulder dystocia; Jahli Hobbs: in…
…ed by midwife Lisa Barrett. Tate Spencer-Koch (4790g, macrosomic) died from intrapartum hypoxia caused by shoulder dystocia; delivery was obstructed for 20 minutes with inadequate assistance. Jahli Hobbs (breech presenta…
32y · Male·Presumed cardiac arrhythmia with congenital coronary artery anomaly (absent righ…
…ificant medical history and no regular GP. Months before death, he experienced three episodes of chest or shoulder pain but did not seek medical evaluation. The inquest established that the left coronary circulation was …
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a …
55y · Female·acute necrotising bronchopneumonia
… She had developed community-acquired pneumonia from 21 February 2023, presenting initially with referred shoulder pain (later recognised as diaphragmatic irritation), progressing to dyspnoea, malaise and cough. She atte…
58y · Male·carcinomatosis from unknown primary
…static cancer of unknown primary in January 2020. He presented with multiple episodes of back, abdominal, shoulder and rib pain between July and November 2019, initially attributed to musculoskeletal causes including a p…
50y · Male·Metastatic carcinoma of unknown primary
…t disability accommodation, died from metastatic carcinoma of unknown primary. He presented with back and shoulder pain in March 2024 attributed to osteoarthritis, but was diagnosed with extensive metastatic cancer in Ju…
28y · Male·Bronchopneumonia caused by metastatic lung cancer (adenocarcinoma)
…y investigated, diagnosed, and treated. The coroner found no basis for earlier diagnosis; prior symptoms (shoulder pain, cough) were clinically consistent with musculoskeletal injury or minor illness rather than malignan…
64y · Male·coronary atherosclerosis with early myocardial infarction
…called triple-0 at 10:34 am reporting classic cardiac symptoms: sudden sweating, shortness of breath, and shoulder pain. The emergency dispatch system incorrectly categorised the call as 'less apparent priority', and no …
84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…
An 84-year-old woman with comorbidities sustained right shoulder and pelvic fractures from an accidental fall. She presented to ED with low oxygen saturation (77%) requir…
25y · Male·coronary thrombosis resulting from coronary atherosclerosis
…oroner found the medical examination by Dr M. was inadequate and cursory. The deceased presented with chest pain, tingling in arms, and numbness—classic signs of ischaemic heart disease—but received only anti-inflammator…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
A 63-year-old man presented with sudden back pain on 6 March 2004. Ambulance officers attended twice; on the first visit they did not transport him to hospit…
30y · Male·Unable to be ascertained
Morgan Rae, a 30-year-old man with chronic pain and recent life stressors, disappeared on 31 January 2020 from the Bundeena area. The coronal finding exami…
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