Coronial
VIChome

Finding into death of Jennifer Porter

Deceased

Jennifer Elizabeth Porter

Demographics

45y, female

Coroner

Coroner Dr Jane Hendtlass

Date of death

2012-02-22

Finding date

2012-09-05

Cause of death

Pulmonary thromboembolism

AI-generated summary

Jennifer Porter, aged 45, died from pulmonary thromboembolism. She had significant medical comorbidities including total heart valve blockage requiring a pacemaker and intellectual disability. Four days before death, she presented with fever and dizziness and was prescribed doxycycline by her general practitioner. No investigation for DVT/PE was documented despite presenting symptoms. The clinical lesson is that fever with dizziness in a patient with cardiac disease and reduced mobility (living in supported accommodation) should prompt consideration of thromboembolism risk assessment and appropriate imaging. Early recognition of VTE risk factors and lower threshold for imaging in vulnerable populations with mobility limitations may have altered the outcome.

AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.

Specialties

general practicepathology

Error types

diagnostic

Drugs involved

doxycycline

Contributing factors

  • Limited medical investigation of presenting symptoms
  • Cardiac comorbidity with pacemaker
  • Reduced mobility in supported accommodation setting
  • Intellectual disability limiting symptom reporting
Full text

IN THE CORONERS COURT OP VICTORIA AT MELBOURNE

Court Reference: COR 2012 00712

FINDING INTO DEATH WITH INQUEST

Form 37 Rule 60(1) Section 67 of the Coroners Act 2008

Inquest into the Death of: Jennifer PORTER

Delivered On: . 5 September 2012

Delivered At: Coroners Court of Victoria ‘ Level 11, 222 Exhibition Street Melbourne 3000 Hearing Dates: | 5 September 2012 Findings of: JANE HENDTLASS, CORONER.

Representation: Nil

Police Coronial Support Unit Leading Senior Constable Tracey Ramsey

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I, JANE HENDTLASS, Coroner having investigated the death of JENNIFER PORTER

AND having held an inquest in relation to this death on 5 September 2012

at MELBOURNE

find that the identity of the deceased was JENNIFER ELIZABETH PORTER born on 1 February 1967

and the death occurred on 22 February 2012 at 386 Buckley Street, Essendon 3040 from:

1 (a) PULMONARY THROMBOEMBOLISM

in the following circumstances:

  1. Jennifer Elizabeth Porter was 45 years old when she died. She lived in Department of Human Services supported accommodation at 386 Buckley Road in Essendon. Ms Porter’s medical history included total heart valve blockage requiring a pace maker and intellectual disability.

She was allergic to penicillin, Her general practitioner was Dr Davorka Hemetek. Ms Porter last

consulted Dr Hemetek on 5 November 2011.

2, On 18 February 2012, Me Porter complained of feeling dizzy and unwell with a fever. She

consulted Dr Desmond Wong who prescribed doxyelycline.

3, At9.25am on 22 February 2012, a casual carer, Mr Daniel Connors, found Ms Porter

unresponsive in the bathroom. She was unable to be revived.

  1. The forensic pathologist who performed the autopsy formed the opinion that the cause of death

was pulmonary thromboembolism.

Signature:

/ A

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