Coronial

17 results for untreated diabetes mellitus

VIChome2025-07-24

Finding into death of Jill Hughes

75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis

…ccessed any medical care or medications for two years prior to death. The case highlights the dangers of untreated infection in diabetic patients, the importance of medical engagement despite patient reluctance, and the…

infectious diseasesendocrinologydelaydiagnostic
VIChospital2014-07-17

Finding into death of Luong Quang Nguyen

46y · Male·Complications of diabetic nephropathy

A 46-year-old man with a 25-year history of schizophrenia, poorly controlled type 2 diabetes, polysubstance abuse, and end-stage renal failure died from complications of diabetic nephropathy. He was…

psychiatrygeneral medicine
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

Mark Graham Newstead, a 51-year-old man with schizophrenia and untreated hepatitis C, died from metastatic small round cell tumour (Ewing's Sarcoma) while in custody. He present…

orthopaedic surgeryspinal surgery
VICcommunity2018-01-19

Finding into death of Jeffrey Coote

83y · Male·Drowning in a man with ischaemic heart disease

…cause of capsizing but noted that a cardiac event (myocardial infarction) or hypoglycaemia (he had Type 1 diabetes and his wife noted he made unusual decisions with low insulin levels) may have contributed. He had also r…

NSWhome2026-05-01

Inquest into the disappearance and suspected death of David Mark Webber

47y · Male·unknown

…n, anxiety, financial crises and failed business ventures. Critically, David had insulin-dependent type 1 diabetes requiring daily medication—his entire medication supply remained at home. Without insulin access, he coul…

novorapid flexpen
WAhospital2025-12-05

Inquest into the Death of Leslie Charles LINTON

64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis

…e). He was admitted to the Mental Health Unit as an involuntary patient on 21 December for management of untreated schizophrenia and suspected vascular dementia, with plans to obtain guardianship orders to enable consen…

cardiologypsychiatryrisperidone
WAmental health- 11 April 2014

Inquest into the Death of Tom FOSKI

51y · Male·congestive cardiac failure in association with ischaemic and hypertensive heart …

…associated with ischaemic and hypertensive heart disease. He had multiple medical comorbidities including diabetes, COPD, previous myocardial infarction, and a large untreated abdominal hernia. While at Graylands Hospita…

psychiatrycardiologycommunicationdelayantipsychotic medications
SAprison2023-11-10

Coroner's Finding: Trotta, Giovanni

58y · Male·acute bronchopneumonia

…—high blood glucose on 28 February was flagged for urgent review but never followed up, leaving him with untreated diabetes; (3) low oxygen readings in February-April should have prompted escalation (chest X-ray, medica…

emergency medicinerespiratory medicinediagnosticcommunicationclozapine
WAhospital2023-11-29

Inquest into the Death of Samuel Edward ASHBY

46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…

… of 99.7; (3) clozapine-induced sedation and hypersalivation increase aspiration risk, particularly with untreated obstructive sleep apnoea; (4) support for patients with cognitive impairment to maintain medical devices…

psychiatrygeneral medicinediagnosticsystemclozapine
NSWhospital2023-02-10

Inquest into the death of Anzac Sullivan

38y · Male·Combined effects of coronary atherosclerosis and cardiomegaly, with methylamphet…

…ertional cardiac stress in unscreened high-risk patients can be catastrophic. Earlier medical engagement, diabetes management, cardiovascular risk assessment, and drug cessation counselling may have been beneficial, thou…

cardiologyforensic medicinedelaymethamphetamine
WA2025-07-08

Inquest into the Death of Tim Alan LOOKER

29y · Male·ligature compression of the neck (hanging)

…olt in his cell. Tim had ADHD diagnosed since childhood (previously prescribed dexamphetamine) and Type 2 diabetes (metformin), neither condition treated during his 99-day imprisonment. Key clinical lessons include: (1) …

general practicepsychiatrysystemcommunicationdextroamphetamine
QLD2019-11-21

Gavenor, Ashley Glenfield

48y · Male·Coronary atherosclerosis and minor trauma

Ashley Glenfield Gavenor, a 48-year-old Indigenous man with coronary artery disease, hypertension, diabetes, and bipolar affective disorder, died in Townsville Correctional Centre following a brief altercation wit…

cardiologypsychiatryaspirin
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

…tmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss T presented to the ED twice with abdominal pain and vomiting. After her second presenta…

emergency medicinegeneral practicediagnosticsystemcannabis
VICcommunity2013-02-14

Coroner's Finding: Peter Raven Fisher

55y · Male·Immersion

Peter Fisher, a 55-year-old man with schizophrenia and depression, died from immersion after becoming homeless. Discharged from The Alfred Hospital in February 2007 to supported accommodation without a Community Treatmen…

psychiatrygeneral practicecommunicationsystemsertraline
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

…am and 7.10am on 21 November and could not be revived. Clinical lessons: undiagnosed cardiac disease and untreated sleep apnoea in patients requiring sedation pose serious risks; visual respiratory observations alone ma…

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
SA2011-11-04

Coroner's Finding: Sleeping Rough Inquest

Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…

…and comorbidities including pneumonia, cardiomyopathy, liver disease, and seizures. Deaths resulted from untreated chronic conditions exacerbated by rough sleeping, inadequate shelter, and poor access to healthcare. Key…

emergency medicinerespiratory medicinesystemdelayalcohol
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary atherosclerosis), died from acute car…

psychiatryemergency medicinedelaysystemrisperidone depot

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.