A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
=Sulphuric Acid.= Death from poisoning with this acid, commonly results
in from twelve hours to three days, but sometimes life is prolonged for
a week or a fortnight, or for months, and sometimes death may take place
in an hour.
The morbid appearances met with will vary according to the quantity of
the acid taken, and the manner of its administration. The appearances
are in general as follows:
On the lips, fingers, or other parts of the skin, spots and streaks of a
brownish, or yellowish-brown color are met with, where the acid has
disorganized the cuticle.
The mucous membrane of the tongue and fauces is white; the pharynx is
only in the rarest cases carbonized like the stomach, is generally hard
to cut, as if tanned, and of a gray color; the vascular injections of
its mucous membrane may be recognized.
The rima glottidis is sometimes contracted, the epiglottis swelled, and
the commencement of the larynx inflamed. The œsophageal membrane is
often completely detached, or comes off in shreds; and the passage shows
traces of the corroding effects of the poison.
The outer surface of the abdominal viscera is commonly either very
vascular or livid.
The stomach, if not perforated, is commonly distended with gases, and
contains a quantity of yellowish-brown or black matter, and is sometimes
lined with a thick paste, composed of disorganized tissue, blood and
mucus. The pylorus is contracted. If the acid has been taken diluted,
the mucous membrane is merely excessively injected, with blackness of
the vessels, and usually a softening of the rugæ, or actual removal of
the villous coat.
If the stomach be perforated, the holes are commonly roundish, with
thin, colored and disintegrated margins, and surrounded by vascularity
and black extravasations. The inner coat of the duodenum often presents
appearances closely resembling those noticed in the stomach. Sometimes,
especially in cases which are rapidly fatal, it is not at all affected,
probably owing to the spasmodic contraction of the pyloric orifice.
The urinary bladder is commonly empty.
The blood is thickened, and of an acid reaction.
=Nitric Acid.= The appearances observed in cases of poisoning by this
acid, are similar to those noticed under sulphuric acid. A difference of
tint in the color produced by nitric acid on the skin, lips and mucous
lining of the mouth and œsophagus, being the only distinguishing mark.
Whereas in the case of sulphuric acid the color is brownish, in the case
of nitric acid, it is most frequently yellow.
=Oxalic Acid.= This is a poison of great energy, and so more frequently
used for committing suicide than for purposes of murder. It has often
been taken by accident for Epsom salt, (sulphate of magnesia,) which it
greatly resembles in general appearance.
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