57y · Male·brainstem and cerebellar infarction due to vertebrobasilar artery thrombosis
A 57-year-old man with multiple cardiovascular risk factors presented to an ED with vertigo, blurred vision, and 'not feeling right' caused by an evolving posterior circulation stroke. A junior doc…
80y · Male·Complications post fall from ladder sustaining multiple injuries including to th…
An 80-year-old man died from complications of a fall from a ladder while pruning vegetation at his holiday property. He sustained multiple injuries including rib fractures, haemopneumothorax, subarachnoid haemorrhage and…
75y · Male·Traumatic brain injury sustained in a fall from a ladder
A 75-year-old man with multiple comorbidities (diabetes, hypertension, spinal stenosis, peripheral neuropathy) fell from a metal A-frame ladder while attempting roof repairs on his caravan, despite medical advice against…
67y · Female·disseminated adenocarcinoma of the colon
A 67-year-old woman with metastatic colorectal cancer developed multiple cerebral metastases causing marked behavioural changes (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act…
80y · Female·Haemoperitoneum/retroperitoneal haematoma due to rupture of the abdominal aorta …
An 80-year-old woman presented to hospital after falls causing head injury and cervical spine fracture. Initial CT ruled out intracranial pathology. She developed undifferentiated shock at 5am, initially attributed to se…
81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure
…dizziness) might have prompted urgent hospital admission rather than conservative management for presumed vertigo. The coroner found no direct causal link between family violence concerns and his death, though he experi…
41y · Female·frontal lobe ischaemic infarcts (strokes) caused by cerebral artery vasospasm co…
…resented to multiple healthcare providers over five days with headache, neck stiffness, photosensitivity, vertigo, nausea, vomiting, and a syncopal episode. Critical failures occurred at the Royal Hobart Hospital ED on …
31y · Female·right cerebellar cerebrovascular accident (cerebellar infarction with obstructiv…
…ial CT brain showed equivocal left temporal hypodensity. Dr B. diagnosed acute migraine/benign positional vertigo and ordered lumbar puncture to exclude encephalitis, delaying neurological consultation. When lumbar punc…
44y · Female·salt water drowning due to ascent barotrauma (cerebral arterial gas embolism)
Jennifer Lee Barrington, age 44, died from salt water drowning due to ascent barotrauma (cerebral arterial gas embolism/CAGE) during a recreational scuba dive. She had significant undisclosed medical conditions including…
59y · Male·head injuries
Roger Schnelle, a 59-year-old accountant, died from head injuries sustained through intentional self-harm while involuntarily detained at Nolan House mental health facility in April 2021. He developed sudden onset severe…
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